How much rates vary
Facilitymedian $4,266 · 10th to 90th $933 to $7,943Professionalmedian $389 · 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 $457.09 Median $1,862.09 Typical High $3,715.35 | Facility | None | $457.09 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $457.09 | Professional | None | $389.05 | $407.38 | $457.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $6,760.83 | Facility | None | $2,691.53 | $4,786.30 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | None | $371.54 | $457.09 | $457.09 |
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 $524.81 Median $1,071.52 Typical High $5,370.32 | Facility | None | $524.81 | $1,071.52 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $524.81 | Professional | None | $281.84 | $331.13 | $524.81 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $562.34 | Professional | None | $234.42 | $316.23 | $562.34 |
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 $194.98 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $194.98 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $77.62 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $309.03 Typical High $346.74 | Professional | 54 · Surgery only | $295.12 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | 55 · Aftercare only | $58.88 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $40.74 Typical High $45.71 | Professional | 56 · Pre-op care only | $38.90 | $40.74 | $45.71 |
Where Louisiana sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.