How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,202 to $10,965Professionalmedian $1,288 · 10th to 90th $851 to $1,585
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 $812.83 Median $2,691.53 Typical High $5,248.07 | Facility | None | $812.83 | $2,691.53 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,445.44 | $1,621.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $10,964.78 | Facility | None | $4,570.88 | $9,120.11 | $10,964.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,380.38 | $1,513.56 |
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 $707.95 Median $1,513.56 Typical High $8,128.31 | Facility | None | $707.95 | $1,513.56 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $1,479.11 | Professional | None | $676.08 | $1,148.15 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $13,182.57 | Facility | None | $1,202.26 | $3,019.95 | $13,182.57 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,698.24 | Professional | None | $831.76 | $1,047.13 | $1,698.24 |
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 $602.56 Median $724.44 Typical High $776.25 | Professional | 52 · Reduced service | $602.56 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $288.40 Typical High $309.03 | Professional | 53 · Discontinued | $245.47 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,096.48 Typical High $1,174.90 | Professional | 54 · Surgery only | $912.01 | $1,096.48 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $218.78 Typical High $234.42 | Professional | 55 · Aftercare only | $181.97 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $144.54 Typical High $154.88 | Professional | 56 · Pre-op care only | $120.23 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,023.29 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $851.14 | $1,023.29 | $1,096.48 |
Where Louisiana sits
The same service costs 4.6 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 $13,103MT $2,825
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.