How much rates vary
Facilitymedian $2,692 · 10th to 90th $933 to $5,754Professionalmedian $417 · 10th to 90th $251 to $1,950
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 $1,862.09 Typical High $4,365.16 | Facility | None | $354.81 | $1,862.09 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $1,819.70 | Professional | None | $281.84 | $489.78 | $1,819.70 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $323.59 Typical High $1,148.15 | Professional | None | $199.53 | $323.59 | $1,148.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $6,309.57 | Facility | None | $2,041.74 | $2,570.40 | $6,309.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $1,949.84 | Professional | None | $295.12 | $478.63 | $1,949.84 |
Christus Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $2,951.21 | Facility | None | $524.81 | $1,096.48 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $1,995.26 | Professional | None | $239.88 | $446.68 | $1,995.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,888.44 | Facility | None | $851.14 | $1,584.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $1,949.84 | Professional | None | $245.47 | $389.05 | $1,949.84 |
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 $138.04 Median $239.88 Typical High $812.83 | Professional | 52 · Reduced service | $138.04 | $239.88 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $97.72 Typical High $323.59 | Professional | 53 · Discontinued | $54.95 | $97.72 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $363.08 Typical High $1,230.27 | Professional | 54 · Surgery only | $208.93 | $363.08 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $72.44 Typical High $245.47 | Professional | 55 · Aftercare only | $41.69 | $72.44 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $47.86 Typical High $162.18 | Professional | 56 · Pre-op care only | $27.54 | $47.86 | $162.18 |
Where Louisiana sits
The same service costs 4.3 times more in Vermont than in Maine. 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
VT $8,043ME $1,891
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.