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 $501.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $501.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,288.25 | Professional | None | $891.25 | $954.99 | $1,288.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $3,090.30 Typical High $5,623.41 | Facility | None | $0.02 | $3,090.30 | $5,623.41 |
BCBS Louisiana Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,230.27 | Professional | None | $954.99 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,995.26 | Facility | None | $501.19 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,318.26 | Professional | None | $812.83 | $1,000.00 | $1,318.26 |
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 $645.65 Median $794.33 Typical High $1,318.26 | Professional | None | $645.65 | $794.33 | $1,318.26 |
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 $446.68 Median $467.74 Typical High $602.56 | Professional | 52 · Reduced service | $446.68 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $181.97 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $707.95 Typical High $912.01 | Professional | 54 · Surgery only | $676.08 | $707.95 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $181.97 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $89.13 | $95.50 | $120.23 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 25th of 51
$955
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.