How much rates vary
Facilitymedian $1,413 · 10th to 90th $759 to $5,129Professionalmedian $316 · 10th to 90th $240 to $447
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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $467.74 | Professional | None | $346.74 | $380.19 | $467.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $5,248.07 | Facility | None | $1,258.93 | $1,995.26 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | None | $302.00 | $371.54 | $371.54 |
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 $645.65 Typical High $1,737.80 | Facility | None | $331.13 | $645.65 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $354.81 | Professional | None | $263.03 | $288.40 | $354.81 |
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 $213.80 Median $275.42 Typical High $501.19 | Professional | None | $213.80 | $275.42 | $501.19 |
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 $173.78 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $75.86 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $281.84 Typical High $338.84 | Professional | 54 · Surgery only | $257.04 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $67.61 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $38.02 Typical High $44.67 | Professional | 56 · Pre-op care only | $34.67 | $38.02 | $44.67 |
Where Louisiana sits
The same service costs 6.4 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 $4,783MT $743
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.