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 $478.63 Median $1,288.25 Typical High $3,467.37 | Facility | None | $478.63 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $125.89 Typical High $758.58 | Professional | None | $13.18 | $125.89 | $758.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $616.60 | Facility | None | $131.83 | $181.97 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $38.90 | Professional | None | $17.78 | $22.91 | $38.90 |
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 $6.46 Median $10.47 Typical High $63.10 | Professional | 52 · Reduced service | $6.46 | $10.47 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $4.27 Typical High $25.12 | Professional | 53 · Discontinued | $2.63 | $4.27 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.77 Median $15.85 Typical High $95.50 | Professional | 54 · Surgery only | $9.77 | $15.85 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $3.16 Typical High $19.05 | Professional | 55 · Aftercare only | $1.95 | $3.16 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $2.09 Typical High $12.59 | Professional | 56 · Pre-op care only | $1.29 | $2.09 | $12.59 |
Where Louisiana sits
The same service costs 14.5 times more in New Hampshire than in New Jersey. 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· 33rd of 51
$32.36
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.