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 $851.14 Median $2,818.38 Typical High $4,466.84 | Facility | None | $851.14 | $2,818.38 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $912.01 | Professional | None | $776.25 | $831.76 | $912.01 |
BCBS Louisiana Setting Facility Modifier None Typical Low $18,620.87 Median $23,988.33 Typical High $53,703.18 | Facility | None | $18,620.87 | $23,988.33 | $53,703.18 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $33,113.11 | Facility | None | $524.81 | $1,174.90 | $33,113.11 |
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 $741.31 Median $1,230.27 Typical High $1,698.24 | Professional | None | $741.31 | $1,230.27 | $1,698.24 |
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 $302.00 Median $407.38 Typical High $426.58 | Professional | 52 · Reduced service | $302.00 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $162.18 Typical High $169.82 | Professional | 53 · Discontinued | $120.23 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $602.56 Typical High $630.96 | Professional | 54 · Surgery only | $457.09 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $120.23 Typical High $125.89 | Professional | 55 · Aftercare only | $91.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $81.28 Typical High $85.11 | Professional | 56 · Pre-op care only | $60.26 | $81.28 | $85.11 |
Where Louisiana sits
The same service costs 50.1 times more in Arkansas than in New York. 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
$17,783
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.