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 $141.25 Median $2,511.89 Typical High $3,890.45 | Facility | None | $141.25 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $177.83 | Professional | None | $66.07 | $95.50 | $177.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $426.58 | Facility | None | $125.89 | $281.84 | $426.58 |
BCBS Louisiana Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $151.36 | Professional | None | $64.57 | $95.50 | $151.36 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
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 $48.98 Median $95.50 Typical High $144.54 | Professional | None | $48.98 | $95.50 | $144.54 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $162.18 | Professional | None | $57.54 | $107.15 | $162.18 |
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 $33.11 Median $43.65 Typical High $81.28 | Professional | 52 · Reduced service | $33.11 | $43.65 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.38 Typical High $33.11 | Professional | 53 · Discontinued | $13.49 | $17.38 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | 54 · Surgery only | $50.12 | $66.07 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.18 Typical High $24.55 | Professional | 55 · Aftercare only | $10.00 | $13.18 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.71 Typical High $16.22 | Professional | 56 · Pre-op care only | $6.76 | $8.71 | $16.22 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska 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· 39th of 51
$110
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.