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 $323.59 Median $2,511.89 Typical High $3,890.45 | Facility | None | $323.59 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $398.11 | Professional | None | $199.53 | $275.42 | $398.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $758.58 | Facility | None | $165.96 | $239.88 | $758.58 |
BCBS Louisiana Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $436.52 | Professional | None | $199.53 | $257.04 | $436.52 |
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 $75.86 Median $128.82 Typical High $251.19 | Facility | None | $75.86 | $128.82 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $478.63 | Professional | None | $177.83 | $281.84 | $478.63 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $380.19 | Professional | None | $144.54 | $234.42 | $380.19 |
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 $97.72 Median $138.04 Typical High $199.53 | Professional | 52 · Reduced service | $97.72 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $79.43 | Professional | 53 · Discontinued | $39.81 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $208.93 Typical High $295.12 | Professional | 54 · Surgery only | $147.91 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $41.69 Typical High $58.88 | Professional | 55 · Aftercare only | $29.51 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $27.54 Typical High $39.81 | Professional | 56 · Pre-op care only | $19.95 | $27.54 | $39.81 |
Where Louisiana sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$263
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.