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 $3,162.28 Typical High $5,623.41 | Facility | None | $891.25 | $3,162.28 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,071.52 | $1,122.02 | $1,230.27 |
BCBS Louisiana Setting Facility Modifier None Typical Low $14,454.40 Median $16,218.10 Typical High $16,218.10 | Facility | None | $14,454.40 | $16,218.10 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,000.00 Typical High $7,585.78 | Facility | None | $524.81 | $1,000.00 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $7,762.47 Typical High $24,547.09 | Facility | None | $1,621.81 | $7,762.47 | $24,547.09 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,659.59 | $2,290.87 |
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 $524.81 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $524.81 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $218.78 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $162.18 Typical High $169.82 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $112.20 |
Where Louisiana sits
The same service costs 18.2 times more in California 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· 12th of 51
$3,311
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.