How much rates vary
Facilitymedian $9,333 · 10th to 90th $2,138 to $22,909Professionalmedian $891 · 10th to 90th $708 to $1,288
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 $870.96 Median $3,162.28 Typical High $5,623.41 | Facility | None | $870.96 | $3,162.28 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,096.48 | Professional | None | $758.58 | $870.96 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,413.10 Median $11,220.18 Typical High $28,840.32 | Facility | None | $7,413.10 | $11,220.18 | $28,840.32 |
BCBS Louisiana Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,174.90 | Professional | None | $870.96 | $1,174.90 | $1,174.90 |
Christus Setting Facility Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Facility | None | $9,772.37 | $9,772.37 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $9,332.54 Typical High $13,803.84 | Facility | None | $6,456.54 | $9,332.54 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,288.25 | Professional | None | $691.83 | $912.01 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $14,791.08 | Facility | None | $1,348.96 | $3,890.45 | $14,791.08 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,258.93 | Professional | None | $676.08 | $870.96 | $1,258.93 |
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 $407.38 Median $416.87 Typical High $549.54 | Professional | 52 · Reduced service | $407.38 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $218.78 | Professional | 53 · Discontinued | $162.18 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $630.96 Typical High $812.83 | Professional | 54 · Surgery only | $616.60 | $630.96 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $125.89 Typical High $165.96 | Professional | 55 · Aftercare only | $123.03 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $81.28 | $85.11 | $109.65 |
Where Louisiana sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.