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 $162.18 Median $2,511.89 Typical High $3,890.45 | Facility | None | $162.18 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $218.78 | Professional | None | $107.15 | $144.54 | $218.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $1,348.96 | Facility | None | $346.74 | $549.54 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $194.98 | Professional | None | $114.82 | $141.25 | $194.98 |
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 $316.23 Median $524.81 Typical High $776.25 | Facility | None | $316.23 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $204.17 | Professional | None | $93.33 | $138.04 | $204.17 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,041.74 | Facility | None | $275.42 | $630.96 | $2,041.74 |
United Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $245.47 | Professional | None | $93.33 | $138.04 | $245.47 |
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 $53.70 Median $72.44 Typical High $109.65 | Professional | 52 · Reduced service | $53.70 | $72.44 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $28.84 Typical High $43.65 | Professional | 53 · Discontinued | $21.38 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $107.15 Typical High $165.96 | Professional | 54 · Surgery only | $79.43 | $107.15 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $21.88 Typical High $33.11 | Professional | 55 · Aftercare only | $15.85 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $14.45 Typical High $21.88 | Professional | 56 · Pre-op care only | $10.72 | $14.45 | $21.88 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 19th of 51
$186
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.