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 $2,511.89 Typical High $3,890.45 | Facility | None | $575.44 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $575.44 | Professional | None | $489.78 | $524.81 | $575.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $19,054.61 Median $23,988.33 Typical High $51,286.14 | Facility | None | $19,054.61 | $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 $489.78 Median $758.58 Typical High $1,047.13 | Professional | None | $489.78 | $758.58 | $1,047.13 |
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 $234.42 Median $251.19 Typical High $263.03 | Professional | 52 · Reduced service | $234.42 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $380.19 Typical High $398.11 | Professional | 54 · Surgery only | $354.81 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $75.86 Typical High $79.43 | Professional | 55 · Aftercare only | $70.79 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | 56 · Pre-op care only | $46.77 | $50.12 | $52.48 |
Where Louisiana sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 1st of 51
$16,982
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.