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 $169.82 Median $1,513.56 Typical High $3,467.37 | Facility | None | $169.82 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $204.17 | Professional | None | $104.71 | $147.91 | $204.17 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $831.76 Typical High $3,467.37 | Facility | None | $97.72 | $831.76 | $3,467.37 |
BCBS Louisiana Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $177.83 | Professional | None | $102.33 | $147.91 | $177.83 |
Christus Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $524.81 Typical High $1,047.13 | Facility | None | $104.71 | $524.81 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $177.83 | Professional | None | $77.62 | $128.82 | $177.83 |
United Setting Facility Modifier None Typical Low $446.68 Median $912.01 Typical High $2,951.21 | Facility | None | $446.68 | $912.01 | $2,951.21 |
United Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $218.78 | Professional | None | $87.10 | $138.04 | $218.78 |
6 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 $52.48 Median $69.18 Typical High $93.33 | Professional | 52 · Reduced service | $52.48 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $27.54 Typical High $37.15 | Professional | 53 · Discontinued | $20.89 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $104.71 Typical High $141.25 | Professional | 54 · Surgery only | $79.43 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.89 Typical High $28.18 | Professional | 55 · Aftercare only | $15.85 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.80 Typical High $18.62 | Professional | 56 · Pre-op care only | $10.47 | $13.80 | $18.62 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 58 · Staged procedure | $45.71 | $45.71 | $45.71 |
Where Louisiana sits
The same service costs 3.2 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· 26th of 51
$166
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.