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 $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $363.08 | Professional | None | $194.98 | $275.42 | $363.08 |
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 $199.53 Median $257.04 Typical High $398.11 | Professional | None | $199.53 | $257.04 | $398.11 |
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 $275.42 Typical High $436.52 | Professional | None | $177.83 | $275.42 | $436.52 |
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 $141.25 Median $229.09 Typical High $363.08 | Professional | None | $141.25 | $229.09 | $363.08 |
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 $181.97 | Professional | 52 · Reduced service | $97.72 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $38.90 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $204.17 Typical High $269.15 | Professional | 54 · Surgery only | $147.91 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $40.74 Typical High $53.70 | Professional | 55 · Aftercare only | $29.51 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $19.50 | $27.54 | $36.31 |
Where Louisiana sits
The same service costs 3.9 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· 25th of 51
$257
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.