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 $1,862.09 Typical High $3,801.89 | Facility | None | $676.08 | $1,862.09 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $891.25 | Professional | None | $588.84 | $724.44 | $891.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,466.84 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,466.84 | $7,762.47 | $10,715.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $758.58 | Professional | None | $549.54 | $676.08 | $758.58 |
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 $8,128.31 | Facility | None | $524.81 | $1,071.52 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $812.83 | Professional | None | $371.54 | $660.69 | $812.83 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $13,182.57 | Facility | None | $1,202.26 | $3,019.95 | $13,182.57 |
United Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $933.25 | Professional | None | $426.58 | $616.60 | $933.25 |
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 $295.12 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $295.12 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $117.49 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $549.54 Typical High $660.69 | Professional | 54 · Surgery only | $436.52 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $72.44 Typical High $89.13 | Professional | 56 · Pre-op care only | $58.88 | $72.44 | $89.13 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in New York. 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· 16th of 51
$933
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.