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 $977.24 Median $1,122.02 Typical High $1,318.26 | Professional | None | $977.24 | $1,122.02 | $1,318.26 |
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 $933.25 Median $954.99 Typical High $1,071.52 | Professional | None | $933.25 | $954.99 | $1,071.52 |
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 $676.08 Median $851.14 Typical High $1,230.27 | Professional | None | $676.08 | $851.14 | $1,230.27 |
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 $758.58 Median $933.25 Typical High $1,380.38 | Professional | None | $758.58 | $933.25 | $1,380.38 |
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 $489.78 Median $562.34 Typical High $616.60 | Professional | 52 · Reduced service | $489.78 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $229.09 Typical High $245.47 | Professional | 53 · Discontinued | $194.98 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $169.82 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $112.20 Typical High $123.03 | Professional | 56 · Pre-op care only | $97.72 | $112.20 | $123.03 |
Where Louisiana sits
The same service costs 5.0 times more in Alaska than in Kentucky. 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· 31st of 51
$1,096
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.