How much rates vary
Facilitymedian $2,344 · 10th to 90th $832 to $5,623Professionalmedian $525 · 10th to 90th $195 to $1,175
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 $446.68 Median $1,513.56 Typical High $3,467.37 | Facility | None | $446.68 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $660.69 Typical High $1,122.02 | Professional | None | $234.42 | $660.69 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $6,165.95 | Facility | None | $1,949.84 | $2,344.23 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $1,174.90 | Professional | None | $229.09 | $346.74 | $1,174.90 |
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 $501.19 Median $831.76 Typical High $2,754.23 | Facility | None | $501.19 | $831.76 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $354.81 Typical High $954.99 | Professional | None | $194.98 | $354.81 | $954.99 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,412.54 | Professional | None | $181.97 | $575.44 | $1,412.54 |
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 $117.49 Median $239.88 Typical High $549.54 | Professional | 52 · Reduced service | $117.49 | $239.88 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $97.72 Typical High $223.87 | Professional | 53 · Discontinued | $46.77 | $97.72 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $363.08 Typical High $831.76 | Professional | 54 · Surgery only | $177.83 | $363.08 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $72.44 Typical High $165.96 | Professional | 55 · Aftercare only | $35.48 | $72.44 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $48.98 Typical High $112.20 | Professional | 56 · Pre-op care only | $23.44 | $48.98 | $112.20 |
Where Louisiana sits
The same service costs 4.0 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 $5,041MT $1,267
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.