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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $154.88 | Professional | None | $131.83 | $141.25 | $154.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $2,454.71 | Facility | None | $371.54 | $724.44 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $1,174.90 | Facility | None | $338.84 | $549.54 | $1,174.90 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $281.84 | Professional | None | $134.90 | $177.83 | $281.84 |
4 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 $66.07 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $66.07 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.38 Typical High $22.91 | Professional | 55 · Aftercare only | $19.95 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.13 Typical High $15.49 | Professional | 56 · Pre-op care only | $13.18 | $14.13 | $15.49 |
Where Louisiana sits
The same service costs 24.5 times more in Texas than in Missouri. 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· 14th of 51
$427
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.