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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,412.54 | $1,548.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,128.61 Median $10,964.78 Typical High $15,488.17 | Facility | None | $5,128.61 | $10,964.78 | $15,488.17 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $7,585.78 | Facility | None | $588.84 | $1,096.48 | $7,585.78 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,348.96 | $2,137.96 | $2,884.03 |
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 $660.69 Median $707.95 Typical High $741.31 | Professional | 52 · Reduced service | $660.69 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $263.03 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,071.52 Typical High $1,096.48 | Professional | 54 · Surgery only | $977.24 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $213.80 Typical High $223.87 | Professional | 55 · Aftercare only | $199.53 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $141.25 Typical High $147.91 | Professional | 56 · Pre-op care only | $131.83 | $141.25 | $147.91 |
Where Louisiana sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 30th of 51
$1,585
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.