How much rates vary
Facilitymedian $2,239 · 10th to 90th $309 to $4,898Professionalmedian $295 · 10th to 90th $186 to $490
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 $407.38 Median $1,513.56 Typical High $3,548.13 | Facility | None | $407.38 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $512.86 | Professional | None | $234.42 | $316.23 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $269.15 Median $1,995.26 Typical High $5,248.07 | Facility | None | $269.15 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $467.74 | Professional | None | $208.93 | $316.23 | $467.74 |
Christus Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,905.46 | Facility | None | $501.19 | $933.25 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $363.08 | Professional | None | $186.21 | $275.42 | $363.08 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $5,754.40 | Facility | None | $851.14 | $1,548.82 | $5,754.40 |
United Setting Professional Modifier None Typical Low $162.18 Median $281.84 Typical High $537.03 | Professional | None | $162.18 | $281.84 | $537.03 |
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 $117.49 Median $204.17 Typical High $257.04 | Professional | 52 · Reduced service | $117.49 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $46.77 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $309.03 Typical High $389.05 | Professional | 54 · Surgery only | $177.83 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $61.66 Typical High $77.62 | Professional | 55 · Aftercare only | $35.48 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $40.74 Typical High $51.29 | Professional | 56 · Pre-op care only | $23.44 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $288.40 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $165.96 | $288.40 | $363.08 |
Where Louisiana sits
The same service costs 6.3 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 $4,654MT $736
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.