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 $562.34 Median $2,511.89 Typical High $3,890.45 | Facility | None | $562.34 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $724.44 | Professional | None | $338.84 | $363.08 | $724.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,715.35 Median $8,709.64 Typical High $13,182.57 | Facility | None | $3,715.35 | $8,709.64 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $8,317.64 | Facility | None | $524.81 | $1,174.90 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $12,589.25 | Facility | None | $1,047.13 | $2,238.72 | $12,589.25 |
United Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $724.44 | Professional | None | $338.84 | $524.81 | $724.44 |
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 $169.82 Median $181.97 Typical High $281.84 | Professional | 52 · Reduced service | $169.82 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $114.82 | Professional | 53 · Discontinued | $69.18 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $275.42 Typical High $426.58 | Professional | 54 · Surgery only | $257.04 | $275.42 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $54.95 Typical High $85.11 | Professional | 55 · Aftercare only | $51.29 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $56.23 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $56.23 |
Where Louisiana sits
The same service costs 14.8 times more in Texas 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· 2nd of 51
$3,236
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.