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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $138.04 Typical High $213.80 | Professional | None | $83.18 | $138.04 | $213.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $234.42 Median $416.87 Typical High $602.56 | Facility | None | $234.42 | $416.87 | $602.56 |
BCBS Louisiana Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $181.97 | Professional | None | $85.11 | $141.25 | $181.97 |
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 Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $263.03 | Professional | None | $75.86 | $141.25 | $263.03 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $239.88 | Professional | None | $75.86 | $144.54 | $239.88 |
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 $41.69 Median $64.57 Typical High $100.00 | Professional | 52 · Reduced service | $41.69 | $64.57 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.70 Typical High $39.81 | Professional | 53 · Discontinued | $16.60 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $97.72 Typical High $147.91 | Professional | 54 · Surgery only | $63.10 | $97.72 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.50 Typical High $29.51 | Professional | 55 · Aftercare only | $12.59 | $19.50 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.88 Typical High $19.95 | Professional | 56 · Pre-op care only | $8.32 | $12.88 | $19.95 |
Where Louisiana sits
The same service costs 2.6 times more in Wisconsin than in Utah. 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
$158
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.