How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,175 to $10,471Professionalmedian $912 · 10th to 90th $617 to $1,096
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 $758.58 Median $1,949.84 Typical High $4,365.16 | Facility | None | $758.58 | $1,949.84 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,047.13 | Professional | None | $912.01 | $933.25 | $1,047.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $10,964.78 | Facility | None | $4,570.88 | $5,128.61 | $10,964.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | None | $851.14 | $1,047.13 | $1,047.13 |
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 $645.65 Median $1,348.96 Typical High $4,786.30 | Facility | None | $645.65 | $1,348.96 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,122.02 | Professional | None | $645.65 | $741.31 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,174.90 | Professional | None | $537.03 | $691.83 | $1,174.90 |
6 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 $457.09 Median $467.74 Typical High $524.81 | Professional | 52 · Reduced service | $457.09 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $186.21 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $707.95 Typical High $776.25 | Professional | 54 · Surgery only | $691.83 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $141.25 Typical High $158.49 | Professional | 55 · Aftercare only | $138.04 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $93.33 Typical High $104.71 | Professional | 56 · Pre-op care only | $91.20 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $660.69 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $645.65 | $660.69 | $724.44 |
Where Louisiana sits
The same service costs 5.4 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 $11,084MT $2,070
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.