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 $676.08 Median $1,862.09 Typical High $3,715.35 | Facility | None | $676.08 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,584.89 | $1,819.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,949.84 | $3,019.95 | $6,456.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,479.11 | Professional | None | $1,288.25 | $1,318.26 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $3,090.30 | Facility | None | $524.81 | $1,071.52 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,698.24 | Professional | None | $933.25 | $1,122.02 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,258.93 | $1,949.84 |
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 $676.08 Median $776.25 Typical High $851.14 | Professional | 52 · Reduced service | $676.08 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $316.23 Typical High $338.84 | Professional | 53 · Discontinued | $269.15 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,174.90 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,023.29 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $234.42 Typical High $257.04 | Professional | 55 · Aftercare only | $204.17 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $158.49 Typical High $169.82 | Professional | 56 · Pre-op care only | $134.90 | $158.49 | $169.82 |
Where Louisiana sits
The same service costs 4.8 times more in Alaska than in New York. 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
$1,479
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.