How much rates vary
Facilitymedian $1,738 · 10th to 90th $631 to $3,715Professionalmedian $692 · 10th to 90th $417 to $1,318
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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $954.99 | Professional | None | $512.86 | $630.96 | $954.99 |
BCBS Louisiana Setting Facility Modifier None Typical Low $630.96 Median $1,445.44 Typical High $3,715.35 | Facility | None | $630.96 | $1,445.44 | $3,715.35 |
BCBS Louisiana Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,412.54 | Professional | None | $537.03 | $691.83 | $1,412.54 |
Christus Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $1,659.59 | Facility | None | $331.13 | $645.65 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $1,318.26 | Professional | None | $457.09 | $660.69 | $1,318.26 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $5,754.40 | Facility | None | $831.76 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $338.84 Median $575.44 Typical High $977.24 | Professional | None | $338.84 | $575.44 | $977.24 |
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 $257.04 Median $288.40 Typical High $457.09 | Professional | 52 · Reduced service | $257.04 | $288.40 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $114.82 Typical High $181.97 | Professional | 53 · Discontinued | $102.33 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $436.52 Typical High $676.08 | Professional | 54 · Surgery only | $389.05 | $436.52 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $87.10 Typical High $134.90 | Professional | 55 · Aftercare only | $77.62 | $87.10 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $57.54 Typical High $91.20 | Professional | 56 · Pre-op care only | $51.29 | $57.54 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $630.96 |
Where Louisiana sits
The same service costs 3.2 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 $4,968MT $1,567
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.