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 $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $102.33 | Professional | None | $81.28 | $93.33 | $102.33 |
BCBS Louisiana Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $1,071.52 | Facility | None | $251.19 | $389.05 | $1,071.52 |
BCBS Louisiana Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $83.18 | Professional | None | $61.66 | $69.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $251.19 Typical High $645.65 | Facility | None | $75.86 | $251.19 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $102.33 | Professional | None | $66.07 | $69.18 | $102.33 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $114.82 | Professional | None | $63.10 | $75.86 | $114.82 |
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 $40.74 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $16.22 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $69.18 Typical High $75.86 | Professional | 54 · Surgery only | $60.26 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $14.13 Typical High $15.14 | Professional | 55 · Aftercare only | $12.02 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.33 Typical High $10.23 | Professional | 56 · Pre-op care only | $8.13 | $9.33 | $10.23 |
Where Louisiana sits
The same service costs 5.5 times more in Arkansas 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· 33rd of 51
$93.33
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.