How much rates vary
Facilitymedian $1,738 · 10th to 90th $575 to $5,754Professionalmedian $324 · 10th to 90th $229 to $468
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 $354.81 Median $1,288.25 Typical High $3,467.37 | Facility | None | $354.81 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $407.38 | Professional | None | $288.40 | $338.84 | $407.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $5,888.44 | Facility | None | $1,513.56 | $2,398.83 | $5,888.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $467.74 | Professional | None | $275.42 | $363.08 | $467.74 |
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 $331.13 Median $645.65 Typical High $1,995.26 | Facility | None | $331.13 | $645.65 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $407.38 | Professional | None | $199.53 | $302.00 | $407.38 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,888.44 | Facility | None | $851.14 | $1,548.82 | $5,888.44 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $446.68 | Professional | None | $213.80 | $302.00 | $446.68 |
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 $144.54 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $213.80 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.11 Typical High $38.02 | Professional | 56 · Pre-op care only | $28.84 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $199.53 | $229.09 | $263.03 |
Where Louisiana sits
The same service costs 8.6 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 $6,252MT $728
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.