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 $724.44 Median $2,691.53 Typical High $5,248.07 | Facility | None | $724.44 | $2,691.53 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $5,623.41 Median $10,232.93 Typical High $10,715.19 | Professional | None | $5,623.41 | $10,232.93 | $10,715.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8,912.51 Median $10,471.29 Typical High $22,387.21 | Facility | None | $8,912.51 | $10,471.29 | $22,387.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $18,620.87 | Professional | None | $812.83 | $1,071.52 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $13,803.84 | Facility | None | $524.81 | $1,174.90 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $19,054.61 | Facility | None | $1,621.81 | $7,762.47 | $19,054.61 |
United Setting Professional Modifier None Typical Low $9,332.54 Median $14,125.38 Typical High $19,498.45 | Professional | None | $9,332.54 | $14,125.38 | $19,498.45 |
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 $3,801.89 Median $5,128.61 Typical High $5,370.32 | Professional | 52 · Reduced service | $3,801.89 | $5,128.61 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,513.56 Median $2,041.74 Typical High $2,137.96 | Professional | 53 · Discontinued | $1,513.56 | $2,041.74 | $2,137.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5,754.40 Median $7,585.78 Typical High $7,943.28 | Professional | 54 · Surgery only | $5,754.40 | $7,585.78 | $7,943.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,148.15 Median $1,513.56 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,148.15 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $758.58 Median $1,023.29 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $758.58 | $1,023.29 | $1,071.52 |
Where Louisiana sits
The same service costs 16.6 times more in Indiana than in Nebraska. 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· 31st of 51
$10,233
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.