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 $295.12 Median $1,288.25 Typical High $3,467.37 | Facility | None | $295.12 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $239.88 Typical High $346.74 | Professional | None | $91.20 | $239.88 | $346.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $758.58 Typical High $1,380.38 | Facility | None | $0.02 | $758.58 | $1,380.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $257.04 | Professional | None | $79.43 | $154.88 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,995.26 | Facility | None | $501.19 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $165.96 Typical High $380.19 | Professional | None | $72.44 | $165.96 | $380.19 |
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 $83.18 Median $239.88 Typical High $426.58 | Professional | None | $83.18 | $239.88 | $426.58 |
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 $45.71 Median $70.79 Typical High $162.18 | Professional | 52 · Reduced service | $45.71 | $70.79 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.18 Typical High $66.07 | Professional | 53 · Discontinued | $18.20 | $28.18 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $104.71 Typical High $245.47 | Professional | 54 · Surgery only | $69.18 | $104.71 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $20.89 Typical High $48.98 | Professional | 55 · Aftercare only | $13.80 | $20.89 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.13 Typical High $32.36 | Professional | 56 · Pre-op care only | $9.12 | $14.13 | $32.36 |
Where Louisiana sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. 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· 24th of 51
$251
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.