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 $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 $87.10 Median $234.42 Typical High $234.42 | Professional | None | $87.10 | $234.42 | $234.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $645.65 | Facility | None | $123.03 | $218.78 | $645.65 |
BCBS Louisiana Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $125.89 | Professional | None | $81.28 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $151.36 Typical High $1,000.00 | Facility | None | $60.26 | $151.36 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $147.91 | Professional | None | $61.66 | $95.50 | $147.91 |
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 $43.65 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $43.65 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $17.38 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $173.78 Typical High $173.78 | Professional | 54 · Surgery only | $66.07 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $34.67 Typical High $34.67 | Professional | 55 · Aftercare only | $13.18 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $8.71 | $23.44 | $23.44 |
Where Louisiana sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 21st of 51
$126
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.