How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,698 to $15,136Professionalmedian $1,072 · 10th to 90th $832 to $1,479
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 $977.24 Median $1,000.00 Typical High $1,380.38 | Professional | None | $977.24 | $1,000.00 | $1,380.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,754.40 Median $7,585.78 Typical High $17,378.01 | Facility | None | $5,754.40 | $7,585.78 | $17,378.01 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,174.90 | $1,318.26 |
Christus Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,818.38 Typical High $8,128.31 | Facility | None | $794.33 | $2,818.38 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,412.54 | Professional | None | $575.44 | $1,000.00 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $13,489.63 | Facility | None | $1,348.96 | $3,801.89 | $13,489.63 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,584.89 | Professional | None | $758.58 | $1,023.29 | $1,584.89 |
2 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 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $912.01 | Professional | 54 · Surgery only | $741.31 | $758.58 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $851.14 |
Where Louisiana sits
The same service costs 6.1 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 $15,685MT $2,577
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.