How much rates vary
Facilitymedian $2,630 · 10th to 90th $891 to $5,623Professionalmedian $229 · 10th to 90th $182 to $309
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 $398.11 Median $1,513.56 Typical High $3,548.13 | Facility | None | $398.11 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $295.12 | Professional | None | $208.93 | $218.78 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $6,165.95 | Facility | None | $2,041.74 | $2,570.40 | $6,165.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $288.40 | Professional | None | $223.87 | $257.04 | $288.40 |
Christus Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
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 $138.04 Median $218.78 Typical High $309.03 | Professional | None | $138.04 | $218.78 | $309.03 |
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 $165.96 Median $213.80 Typical High $331.13 | Professional | None | $165.96 | $213.80 | $331.13 |
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 $107.15 Median $109.65 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $165.96 Typical High $199.53 | Professional | 54 · Surgery only | $158.49 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $33.11 Typical High $39.81 | Professional | 55 · Aftercare only | $32.36 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.88 Typical High $26.30 | Professional | 56 · Pre-op care only | $21.38 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $154.88 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $147.91 | $154.88 | $186.21 |
Where Louisiana sits
The same service costs 8.1 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 $4,634MT $570
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.