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 $100.00 Median $2,511.89 Typical High $3,890.45 | Facility | None | $100.00 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $58.88 Typical High $123.03 | Professional | None | $37.15 | $58.88 | $123.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $416.87 | Facility | None | $138.04 | $245.47 | $416.87 |
BCBS Louisiana Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $109.65 | Professional | None | $37.15 | $53.70 | $109.65 |
Christus Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $67.61 Typical High $102.33 | Professional | None | $27.54 | $67.61 | $102.33 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $30.20 Median $64.57 Typical High $114.82 | Professional | None | $30.20 | $64.57 | $114.82 |
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 $18.62 Median $24.55 Typical High $57.54 | Professional | 52 · Reduced service | $18.62 | $24.55 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $10.00 Typical High $23.44 | Professional | 53 · Discontinued | $7.59 | $10.00 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $37.15 Typical High $87.10 | Professional | 54 · Surgery only | $28.18 | $37.15 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $7.41 Typical High $17.38 | Professional | 55 · Aftercare only | $5.62 | $7.41 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.90 Typical High $11.48 | Professional | 56 · Pre-op care only | $3.80 | $4.90 | $11.48 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 32nd of 51
$79.43
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.