How much rates vary
Facilitymedian $589 · 10th to 90th $339 to $1,862Professionalmedian $158 · 10th to 90th $107 to $195
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 $380.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $380.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | None | $154.88 | $158.49 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $1,288.25 | Facility | None | $380.19 | $524.81 | $1,288.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $177.83 | Professional | None | $128.82 | $162.18 | $177.83 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $707.95 | Facility | None | $331.13 | $524.81 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $186.21 | Professional | None | $85.11 | $138.04 | $186.21 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $223.87 | Professional | None | $97.72 | $147.91 | $223.87 |
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 $70.79 Median $79.43 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $117.49 Typical High $128.82 | Professional | 54 · Surgery only | $104.71 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | 55 · Aftercare only | $20.89 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.85 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.13 | $15.85 | $17.38 |
Where Louisiana sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.