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 $549.54 Median $660.69 Typical High $724.44 | Professional | None | $549.54 | $660.69 | $724.44 |
BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $3,311.31 | Facility | None | $1,047.13 | $2,344.23 | $3,311.31 |
BCBS Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $851.14 | Professional | None | $645.65 | $812.83 | $851.14 |
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 $1,047.13 Typical High $1,584.89 | Facility | None | $524.81 | $1,047.13 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $660.69 Typical High $794.33 | Professional | None | $346.74 | $660.69 | $794.33 |
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 $478.63 Median $724.44 Typical High $1,023.29 | Professional | None | $478.63 | $724.44 | $1,023.29 |
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 $275.42 Median $331.13 Typical High $363.08 | Professional | 52 · Reduced service | $275.42 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $501.19 Typical High $537.03 | Professional | 54 · Surgery only | $416.87 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $100.00 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $66.07 Typical High $72.44 | Professional | 56 · Pre-op care only | $54.95 | $66.07 | $72.44 |
Where Louisiana sits
The same service costs 4.0 times more in Wisconsin 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· 18th of 51
$759
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.