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 $66.07 Median $169.82 Typical High $288.40 | Professional | None | $66.07 | $169.82 | $288.40 |
BCBS Louisiana Setting Facility Modifier None Typical Low $194.98 Median $416.87 Typical High $954.99 | Facility | None | $194.98 | $416.87 | $954.99 |
BCBS Louisiana Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $323.59 | Professional | None | $66.07 | $102.33 | $323.59 |
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 Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $2,691.53 | Facility | None | $524.81 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $144.54 Typical High $331.13 | Professional | None | $57.54 | $144.54 | $331.13 |
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 $48.98 Median $151.36 Typical High $288.40 | Professional | None | $48.98 | $151.36 | $288.40 |
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 $33.11 Median $56.23 Typical High $144.54 | Professional | 52 · Reduced service | $33.11 | $56.23 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $22.39 Typical High $57.54 | Professional | 53 · Discontinued | $13.18 | $22.39 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $85.11 Typical High $218.78 | Professional | 54 · Surgery only | $48.98 | $85.11 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $16.98 Typical High $43.65 | Professional | 55 · Aftercare only | $10.00 | $16.98 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $11.22 Typical High $28.84 | Professional | 56 · Pre-op care only | $6.61 | $11.22 | $28.84 |
Where Louisiana sits
The same service costs 4.6 times more in Iowa 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· 19th of 51
$182
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.