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 $891.25 Median $3,235.94 Typical High $7,585.78 | Facility | None | $891.25 | $3,235.94 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,041.74 | $2,290.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,168.69 Median $8,709.64 Typical High $13,489.63 | Facility | None | $4,168.69 | $8,709.64 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
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 $1,862.09 Median $3,019.95 Typical High $4,168.69 | Professional | None | $1,862.09 | $3,019.95 | $4,168.69 |
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 $870.96 Median $1,000.00 Typical High $1,047.13 | Professional | 52 · Reduced service | $870.96 | $1,000.00 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $407.38 Typical High $416.87 | Professional | 53 · Discontinued | $346.74 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,513.56 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,288.25 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $302.00 Typical High $316.23 | Professional | 55 · Aftercare only | $257.04 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $199.53 Typical High $208.93 | Professional | 56 · Pre-op care only | $173.78 | $199.53 | $208.93 |
Where Louisiana sits
The same service costs 5.8 times more in California 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· 34th of 51
$2,188
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.