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 $3,162.28 Typical High $5,623.41 | Facility | None | $676.08 | $3,162.28 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $645.65 | Professional | None | $478.63 | $575.44 | $645.65 |
BCBS Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $724.44 | Professional | None | $549.54 | $707.95 | $724.44 |
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 $501.19 Median $831.76 Typical High $1,995.26 | Facility | None | $501.19 | $831.76 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $812.83 | Professional | None | $380.19 | $588.84 | $812.83 |
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 $436.52 Median $645.65 Typical High $1,122.02 | Professional | None | $436.52 | $645.65 | $1,122.02 |
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 $239.88 Median $288.40 Typical High $309.03 | Professional | 52 · Reduced service | $239.88 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $114.82 Typical High $125.89 | Professional | 53 · Discontinued | $95.50 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $426.58 Typical High $467.74 | Professional | 54 · Surgery only | $363.08 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $85.11 Typical High $93.33 | Professional | 55 · Aftercare only | $72.44 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | 56 · Pre-op care only | $47.86 | $57.54 | $63.10 |
Where Louisiana sits
The same service costs 3.7 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· 34th of 51
$646
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.