How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,660 to $10,000Professionalmedian $1,122 · 10th to 90th $871 to $1,549
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 $891.25 Median $3,162.28 Typical High $5,370.32 | Facility | None | $891.25 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,096.48 | $1,513.56 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $10,715.19 | Facility | None | $3,467.37 | $4,677.35 | $10,715.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,445.44 | Professional | None | $1,122.02 | $1,288.25 | $1,445.44 |
Christus Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $2,570.40 Typical High $5,370.32 | Facility | None | $1,047.13 | $2,570.40 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,548.82 | Professional | None | $630.96 | $1,071.52 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,659.59 | Professional | None | $831.76 | $1,023.29 | $1,659.59 |
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 $537.03 Median $549.54 Typical High $660.69 | Professional | 52 · Reduced service | $537.03 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $218.78 Typical High $263.03 | Professional | 53 · Discontinued | $213.80 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $109.65 Typical High $131.83 | Professional | 56 · Pre-op care only | $107.15 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $758.58 | $933.25 |
Where Louisiana sits
The same service costs 4.2 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 $11,551MT $2,762
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.