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 $3,235.94 Typical High $4,786.30 | Facility | None | $676.08 | $3,235.94 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $5,248.07 | Professional | None | $3,981.07 | $4,786.30 | $5,248.07 |
BCBS Louisiana Setting Facility Modifier None Typical Low $9,549.93 Median $20,417.38 Typical High $30,902.95 | Facility | None | $9,549.93 | $20,417.38 | $30,902.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $4,677.35 Median $5,623.41 Typical High $6,165.95 | Professional | None | $4,677.35 | $5,623.41 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $5,754.40 | Professional | None | $2,511.89 | $4,677.35 | $5,754.40 |
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 $3,311.31 Median $5,248.07 Typical High $7,244.36 | Professional | None | $3,311.31 | $5,248.07 | $7,244.36 |
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 $1,995.26 Median $2,398.83 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,995.26 | $2,398.83 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $954.99 Typical High $1,047.13 | Professional | 53 · Discontinued | $812.83 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,019.95 Median $3,630.78 Typical High $3,890.45 | Professional | 54 · Surgery only | $3,019.95 | $3,630.78 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $602.56 Median $724.44 Typical High $776.25 | Professional | 55 · Aftercare only | $602.56 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $478.63 Typical High $524.81 | Professional | 56 · Pre-op care only | $398.11 | $478.63 | $524.81 |
Where Louisiana sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 25th of 51
$4,467
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.