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 $575.44 Median $2,691.53 Typical High $3,890.45 | Facility | None | $575.44 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $812.83 | Professional | None | $537.03 | $660.69 | $812.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $10,000.00 | Facility | None | $3,981.07 | $4,786.30 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $707.95 | Professional | None | $457.09 | $602.56 | $707.95 |
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 $524.81 Median $1,071.52 Typical High $4,786.30 | Facility | None | $524.81 | $1,071.52 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $812.83 | Professional | None | $331.13 | $489.78 | $812.83 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $7,244.36 | Facility | None | $851.14 | $1,548.82 | $7,244.36 |
United Setting Professional Modifier None Typical Low $257.04 Median $478.63 Typical High $831.76 | Professional | None | $257.04 | $478.63 | $831.76 |
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 $263.03 Median $331.13 Typical High $407.38 | Professional | 52 · Reduced service | $263.03 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $131.83 Typical High $162.18 | Professional | 53 · Discontinued | $107.15 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $398.11 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $100.00 Typical High $120.23 | Professional | 55 · Aftercare only | $79.43 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $66.07 Typical High $81.28 | Professional | 56 · Pre-op care only | $53.70 | $66.07 | $81.28 |
Where Louisiana sits
The same service costs 5.2 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· 13th of 51
$813
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.