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 $1,513.56 Typical High $3,467.37 | Facility | None | $323.59 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $323.59 | Professional | None | $138.04 | $218.78 | $323.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $134.90 Median $389.05 Typical High $1,174.90 | Facility | None | $134.90 | $389.05 | $1,174.90 |
BCBS Louisiana Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $302.00 | Professional | None | $147.91 | $208.93 | $302.00 |
Christus Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $446.68 Typical High $707.95 | Facility | None | $138.04 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $338.84 | Professional | None | $120.23 | $190.55 | $338.84 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $371.54 | Professional | None | $123.03 | $194.98 | $371.54 |
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 $69.18 Median $107.15 Typical High $162.18 | Professional | 52 · Reduced service | $69.18 | $107.15 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $27.54 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $158.49 Typical High $245.47 | Professional | 54 · Surgery only | $104.71 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $32.36 Typical High $48.98 | Professional | 55 · Aftercare only | $20.89 | $32.36 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $21.38 Typical High $32.36 | Professional | 56 · Pre-op care only | $13.80 | $21.38 | $32.36 |
Where Louisiana sits
The same service costs 3.0 times more in Wisconsin 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· 30th of 51
$224
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.