How much rates vary
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 $575.44 Median $1,548.82 Typical High $3,548.13 | Facility | None | $575.44 | $1,548.82 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,288.25 | $1,548.82 | $1,698.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,623.41 Median $15,848.93 Typical High $42,657.95 | Facility | None | $5,623.41 | $15,848.93 | $42,657.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,621.81 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,511.89 Typical High $19,498.45 | Facility | None | $588.84 | $2,511.89 | $19,498.45 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $13,489.63 Typical High $34,673.69 | Facility | None | $2,511.89 | $13,489.63 | $34,673.69 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,584.89 | $2,344.23 |
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 $645.65 Median $776.25 Typical High $851.14 | Professional | 52 · Reduced service | $645.65 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $309.03 Typical High $338.84 | Professional | 53 · Discontinued | $257.04 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,148.15 Typical High $1,258.93 | Professional | 54 · Surgery only | $954.99 | $1,148.15 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $234.42 Typical High $251.19 | Professional | 55 · Aftercare only | $190.55 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $154.88 Typical High $169.82 | Professional | 56 · Pre-op care only | $128.82 | $154.88 | $169.82 |
Where Louisiana sits
The same service costs 6.9 times more in Arkansas than in Kentucky. 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.
Louisiana· 24th of 51
$2,042
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.