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 $489.78 Median $1,288.25 Typical High $3,467.37 | Facility | None | $489.78 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $691.83 | Professional | None | $489.78 | $512.86 | $691.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | None | $467.74 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,995.26 | Facility | None | $501.19 | $831.76 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $676.08 | Professional | None | $380.19 | $512.86 | $676.08 |
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 $309.03 Median $398.11 Typical High $724.44 | Professional | None | $309.03 | $398.11 | $724.44 |
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 $245.47 Median $251.19 Typical High $323.59 | Professional | 52 · Reduced service | $245.47 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $102.33 Typical High $128.82 | Professional | 53 · Discontinued | $97.72 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $380.19 Typical High $489.78 | Professional | 54 · Surgery only | $363.08 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $75.86 Typical High $97.72 | Professional | 55 · Aftercare only | $72.44 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $51.29 Typical High $64.57 | Professional | 56 · Pre-op care only | $48.98 | $51.29 | $64.57 |
Where Louisiana sits
The same service costs 4.6 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· 27th of 51
$501
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.