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 $213.80 Median $302.00 Typical High $426.58 | Professional | None | $213.80 | $302.00 | $426.58 |
BCBS Louisiana Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $524.81 | Facility | None | $165.96 | $186.21 | $524.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $467.74 | Professional | None | $218.78 | $275.42 | $467.74 |
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 $194.98 Median $302.00 Typical High $512.86 | Professional | None | $194.98 | $302.00 | $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 $154.88 Median $245.47 Typical High $398.11 | Professional | None | $154.88 | $245.47 | $398.11 |
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 $107.15 Median $147.91 Typical High $213.80 | Professional | 52 · Reduced service | $107.15 | $147.91 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $60.26 Typical High $85.11 | Professional | 53 · Discontinued | $42.66 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | 54 · Surgery only | $158.49 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $44.67 Typical High $63.10 | Professional | 55 · Aftercare only | $31.62 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $30.20 Typical High $42.66 | Professional | 56 · Pre-op care only | $21.38 | $30.20 | $42.66 |
Where Louisiana sits
The same service costs 4.0 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· 26th of 51
$275
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.