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 $2,691.53 Typical High $3,890.45 | Facility | None | $676.08 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,148.15 | Professional | None | $870.96 | $1,047.13 | $1,148.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,995.26 Median $4,570.88 Typical High $6,456.54 | Facility | None | $1,995.26 | $4,570.88 | $6,456.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,258.93 | $1,318.26 |
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 $501.19 Median $851.14 Typical High $1,995.26 | Facility | None | $501.19 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,230.27 | Professional | None | $707.95 | $1,023.29 | $1,230.27 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,621.81 | Professional | None | $741.31 | $1,174.90 | $1,621.81 |
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 $436.52 Median $524.81 Typical High $575.44 | Professional | 52 · Reduced service | $436.52 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $208.93 Typical High $229.09 | Professional | 53 · Discontinued | $173.78 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $776.25 Typical High $851.14 | Professional | 54 · Surgery only | $660.69 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $131.83 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $104.71 Typical High $114.82 | Professional | 56 · Pre-op care only | $87.10 | $104.71 | $114.82 |
Where Louisiana sits
The same service costs 3.8 times more in Wisconsin 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· 22nd of 51
$1,122
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.