How much rates vary
Facilitymedian $339 · 10th to 90th $170 to $1,122Professionalmedian $234 · 10th to 90th $151 to $363
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 $288.40 Median $1,258.93 Typical High $3,467.37 | Facility | None | $288.40 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $316.23 | Professional | None | $181.97 | $239.88 | $316.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $169.82 Median $309.03 Typical High $741.31 | Facility | None | $169.82 | $309.03 | $741.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $371.54 | Professional | None | $173.78 | $239.88 | $371.54 |
Christus Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $331.13 Typical High $676.08 | Facility | None | $151.36 | $331.13 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $331.13 | Professional | None | $151.36 | $204.17 | $331.13 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $323.59 | Professional | None | $134.90 | $208.93 | $323.59 |
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 $91.20 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $91.20 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $58.88 | Professional | 53 · Discontinued | $36.31 | $43.65 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $165.96 Typical High $223.87 | Professional | 54 · Surgery only | $138.04 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $27.54 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.88 Typical High $29.51 | Professional | 56 · Pre-op care only | $18.20 | $21.88 | $29.51 |
Where Louisiana sits
The same service costs 8.8 times more in New York than in Alabama. 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
NY $2,761AL $314
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.