How much rates vary
Facilitymedian $4,365 · 10th to 90th $589 to $8,318Professionalmedian $407 · 10th to 90th $282 to $490
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 $467.74 Median $1,513.56 Typical High $3,548.13 | Facility | None | $467.74 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $467.74 | Professional | None | $407.38 | $416.87 | $467.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,801.89 Median $4,365.16 Typical High $10,000.00 | Facility | None | $3,801.89 | $4,365.16 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $467.74 | Professional | None | $380.19 | $467.74 | $467.74 |
Christus Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $7,079.46 | Facility | None | $588.84 | $1,174.90 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $331.13 Typical High $524.81 | Professional | None | $288.40 | $331.13 | $524.81 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $6,918.31 | Facility | None | $446.68 | $954.99 | $6,918.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $549.54 | Professional | None | $239.88 | $331.13 | $549.54 |
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 $204.17 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $204.17 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $81.28 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $302.00 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $63.10 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $41.69 Typical High $46.77 | Professional | 56 · Pre-op care only | $40.74 | $41.69 | $46.77 |
Where Louisiana sits
The same service costs 7.8 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 $7,005MT $893
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.