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 $186.21 Median $2,511.89 Typical High $3,890.45 | Facility | None | $186.21 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $218.78 | Professional | None | $104.71 | $141.25 | $218.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $776.25 | Facility | None | $125.89 | $331.13 | $776.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $199.53 | Professional | None | $104.71 | $154.88 | $199.53 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $112.20 Typical High $251.19 | Facility | None | $75.86 | $112.20 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $199.53 | Professional | None | $79.43 | $138.04 | $199.53 |
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 $91.20 Median $147.91 Typical High $229.09 | Professional | None | $91.20 | $147.91 | $229.09 |
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 $53.70 Median $69.18 Typical High $109.65 | Professional | 52 · Reduced service | $53.70 | $69.18 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.18 Typical High $43.65 | Professional | 53 · Discontinued | $21.38 | $28.18 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $104.71 Typical High $162.18 | Professional | 54 · Surgery only | $81.28 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $20.89 Typical High $32.36 | Professional | 55 · Aftercare only | $16.22 | $20.89 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $14.13 Typical High $21.88 | Professional | 56 · Pre-op care only | $10.72 | $14.13 | $21.88 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Maryland. 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· 41st of 51
$151
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.