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 $446.68 Median $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $251.19 | Professional | None | $199.53 | $223.87 | $251.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $512.86 | Facility | None | $109.65 | $147.91 | $512.86 |
BCBS Louisiana Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | None | $194.98 | $204.17 | $204.17 |
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 $120.23 Median $501.19 Typical High $933.25 | Facility | None | $120.23 | $501.19 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $302.00 | Professional | None | $173.78 | $204.17 | $302.00 |
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 $154.88 Median $194.98 Typical High $380.19 | Professional | None | $154.88 | $194.98 | $380.19 |
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 $100.00 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $100.00 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | 54 · Surgery only | $147.91 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $33.88 Typical High $37.15 | Professional | 55 · Aftercare only | $29.51 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $22.39 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.95 | $22.39 | $25.12 |
Where Louisiana sits
The same service costs 4.1 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· 40th of 51
$209
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.