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 $676.08 Median $3,235.94 Typical High $5,370.32 | Facility | None | $676.08 | $3,235.94 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $2,398.83 Typical High $4,570.88 | Professional | None | $194.98 | $2,398.83 | $4,570.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,890.45 Median $5,495.41 Typical High $11,481.54 | Facility | None | $3,890.45 | $5,495.41 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $3,630.78 | Professional | None | $213.80 | $323.59 | $3,630.78 |
Christus Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $6,760.83 | Facility | None | $524.81 | $1,174.90 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $3,981.07 | Professional | None | $165.96 | $331.13 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $173.78 Median $2,570.40 Typical High $5,754.40 | Professional | None | $173.78 | $2,570.40 | $5,754.40 |
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 $97.72 Median $213.80 Typical High $2,238.72 | Professional | 52 · Reduced service | $97.72 | $213.80 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $87.10 Typical High $912.01 | Professional | 53 · Discontinued | $38.90 | $87.10 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $323.59 Typical High $3,388.44 | Professional | 54 · Surgery only | $144.54 | $323.59 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $64.57 Typical High $676.08 | Professional | 55 · Aftercare only | $28.84 | $64.57 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $43.65 Typical High $457.09 | Professional | 56 · Pre-op care only | $19.50 | $43.65 | $457.09 |
Where Louisiana sits
The same service costs 33.1 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· 10th of 51
$3,090
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.