How much rates vary
Facilitymedian $1,096 · 10th to 90th $550 to $3,388Professionalmedian $355 · 10th to 90th $245 to $427
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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $407.38 | Professional | None | $354.81 | $363.08 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $707.95 Median $1,202.26 Typical High $3,388.44 | Facility | None | $707.95 | $1,202.26 | $3,388.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $407.38 | Professional | None | $331.13 | $407.38 | $407.38 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $1,513.56 | Facility | None | $562.34 | $831.76 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $457.09 | Professional | None | $251.19 | $288.40 | $457.09 |
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 $208.93 Median $281.84 Typical High $478.63 | Professional | None | $208.93 | $281.84 | $478.63 |
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 $177.83 Median $181.97 Typical High $204.17 | Professional | 52 · Reduced service | $177.83 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $275.42 Typical High $309.03 | Professional | 54 · Surgery only | $263.03 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $61.66 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | 56 · Pre-op care only | $35.48 | $36.31 | $40.74 |
Where Louisiana sits
The same service costs 5.6 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 $4,320MT $769
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.