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 $1,862.09 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,862.09 | $2,238.72 | $2,454.71 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,754.23 | $2,818.38 |
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 $1,174.90 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,174.90 | $2,187.76 | $2,630.27 |
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 $1,412.54 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,412.54 | $2,137.96 | $3,162.28 |
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 $933.25 Median $1,122.02 Typical High $1,202.26 | Professional | 52 · Reduced service | $933.25 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $446.68 Typical High $489.78 | Professional | 53 · Discontinued | $371.54 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,659.59 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,412.54 | $1,659.59 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $331.13 Typical High $363.08 | Professional | 55 · Aftercare only | $281.84 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $223.87 Typical High $245.47 | Professional | 56 · Pre-op care only | $186.21 | $223.87 | $245.47 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 27th of 51
$2,089
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.