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 $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $354.81 | Professional | None | $275.42 | $331.13 | $354.81 |
BCBS Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $1,584.89 | Facility | None | $501.19 | $1,122.02 | $1,584.89 |
BCBS Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $575.44 | Professional | None | $323.59 | $416.87 | $575.44 |
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 $173.78 Median $323.59 Typical High $389.05 | Professional | None | $173.78 | $323.59 | $389.05 |
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 $229.09 Median $371.54 Typical High $512.86 | Professional | None | $229.09 | $371.54 | $512.86 |
4 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 $138.04 Median $162.18 Typical High $177.83 | Professional | 52 · Reduced service | $138.04 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $66.07 Typical High $70.79 | Professional | 53 · Discontinued | $54.95 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $48.98 Typical High $53.70 | Professional | 55 · Aftercare only | $41.69 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.11 Typical High $35.48 | Professional | 56 · Pre-op care only | $27.54 | $33.11 | $35.48 |
Where Louisiana sits
The same service costs 4.1 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· 19th of 51
$427
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.