How much rates vary
Facilitymedian $794 · 10th to 90th $525 to $2,512Professionalmedian $240 · 10th to 90th $166 to $309
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $380.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $380.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $269.15 | Professional | None | $234.42 | $245.47 | $269.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $2,398.83 | Facility | None | $707.95 | $1,023.29 | $2,398.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None | $223.87 | $275.42 | $275.42 |
Christus Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $1,148.15 | Facility | None | $446.68 | $602.56 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $302.00 | Professional | None | $169.82 | $199.53 | $302.00 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,162.28 | Facility | None | $446.68 | $954.99 | $3,162.28 |
United Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $354.81 | Professional | None | $141.25 | $194.98 | $354.81 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $181.97 Typical High $204.17 | Professional | 54 · Surgery only | $177.83 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | 55 · Aftercare only | $35.48 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $24.55 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.44 | $24.55 | $26.92 |
Where Louisiana sits
The same service costs 7.7 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $4,047MT $526
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.