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 $676.08 Median $3,162.28 Typical High $5,370.32 | Facility | None | $676.08 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $457.09 | Professional | None | $389.05 | $416.87 | $457.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $14,791.08 Median $23,988.33 Typical High $51,286.14 | Facility | None | $14,791.08 | $23,988.33 | $51,286.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $30,199.52 | Facility | None | $524.81 | $1,174.90 | $30,199.52 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $17,782.79 Typical High $45,708.82 | Facility | None | $2,884.03 | $17,782.79 | $45,708.82 |
United Setting Professional Modifier None Typical Low $389.05 Median $616.60 Typical High $851.14 | Professional | None | $389.05 | $616.60 | $851.14 |
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 $190.55 Median $199.53 Typical High $208.93 | Professional | 52 · Reduced service | $190.55 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $75.86 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $295.12 Typical High $309.03 | Professional | 54 · Surgery only | $288.40 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $57.54 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $39.81 Typical High $41.69 | Professional | 56 · Pre-op care only | $38.02 | $39.81 | $41.69 |
Where Louisiana sits
The same service costs 57.5 times more in Arkansas than in New York. 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· 3rd of 51
$14,791
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.