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 $41.69 Median $1,288.25 Typical High $3,467.37 | Facility | None | $41.69 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $45.71 | Professional | None | $28.84 | $36.31 | $45.71 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $229.09 Typical High $436.52 | Facility | None | $0.02 | $229.09 | $436.52 |
BCBS Louisiana Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $37.15 | Professional | None | $27.54 | $31.62 | $37.15 |
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 $524.81 Median $812.83 Typical High $1,995.26 | Facility | None | $524.81 | $812.83 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $38.90 | Professional | None | $20.42 | $26.92 | $38.90 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $48.98 | Professional | None | $22.91 | $32.36 | $48.98 |
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 $14.45 Median $18.20 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $18.20 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.24 Typical High $8.32 | Professional | 53 · Discontinued | $5.89 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $27.54 Typical High $31.62 | Professional | 54 · Surgery only | $21.88 | $27.54 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $5.50 Typical High $6.31 | Professional | 55 · Aftercare only | $4.37 | $5.50 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.63 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.95 | $3.63 | $4.17 |
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· 29th of 51
$34.67
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.