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 $346.74 Median $2,511.89 Typical High $3,890.45 | Facility | None | $346.74 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $426.58 | Professional | None | $223.87 | $316.23 | $426.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $676.08 | Facility | None | $165.96 | $186.21 | $676.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $478.63 | Professional | None | $229.09 | $288.40 | $478.63 |
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 $204.17 Median $316.23 Typical High $512.86 | Professional | None | $204.17 | $316.23 | $512.86 |
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 $165.96 Median $263.03 Typical High $416.87 | Professional | None | $165.96 | $263.03 | $416.87 |
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 $112.20 Median $158.49 Typical High $213.80 | Professional | 52 · Reduced service | $112.20 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $63.10 Typical High $85.11 | Professional | 53 · Discontinued | $44.67 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $234.42 Typical High $323.59 | Professional | 54 · Surgery only | $165.96 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $46.77 Typical High $64.57 | Professional | 55 · Aftercare only | $33.88 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $31.62 Typical High $42.66 | Professional | 56 · Pre-op care only | $22.39 | $31.62 | $42.66 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska 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· 25th of 51
$288
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.