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 $2,454.71 Typical High $4,365.16 | Facility | None | $724.44 | $2,454.71 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,584.89 | $1,737.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6,309.57 Median $7,079.46 Typical High $18,197.01 | Facility | None | $6,309.57 | $7,079.46 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $12,022.64 | Facility | None | $524.81 | $1,174.90 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $13,489.63 | Facility | None | $1,348.96 | $3,890.45 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,412.54 | $1,995.26 | $3,235.94 |
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 $741.31 Median $758.58 Typical High $870.96 | Professional | 52 · Reduced service | $741.31 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | 53 · Discontinued | $302.00 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,122.02 | $1,148.15 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $229.09 Typical High $263.03 | Professional | 55 · Aftercare only | $223.87 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $151.36 Typical High $173.78 | Professional | 56 · Pre-op care only | $147.91 | $151.36 | $173.78 |
Where Louisiana sits
The same service costs 4.9 times more in Alaska than in Indiana. 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· 8th of 51
$3,467
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.