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 $380.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $380.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $208.93 | Professional | None | $147.91 | $154.88 | $208.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $7,244.36 Typical High $14,125.38 | Facility | None | $0.02 | $7,244.36 | $14,125.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | None | $151.36 | $194.98 | $194.98 |
Christus Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,995.26 | Facility | None | $524.81 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $204.17 | Professional | None | $125.89 | $154.88 | $204.17 |
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 $102.33 Median $128.82 Typical High $223.87 | Professional | None | $102.33 | $128.82 | $223.87 |
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 $74.13 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $114.82 Typical High $147.91 | Professional | 54 · Surgery only | $112.20 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.91 Typical High $29.51 | Professional | 55 · Aftercare only | $22.39 | $22.91 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.49 Typical High $19.50 | Professional | 56 · Pre-op care only | $14.79 | $15.49 | $19.50 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Delaware. 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· 18th of 51
$178
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.