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 $1,819.70 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,819.70 | $2,187.76 | $2,454.71 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,548.13 Median $4,265.80 Typical High $4,677.35 | Professional | None | $3,548.13 | $4,265.80 | $4,677.35 |
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 $1,412.54 Median $2,454.71 Typical High $3,019.95 | Professional | None | $1,412.54 | $2,454.71 | $3,019.95 |
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 $1,584.89 Median $2,818.38 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,818.38 | $4,365.16 |
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 $912.01 Median $1,071.52 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $436.52 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,380.38 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $275.42 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $218.78 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $218.78 | $234.42 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in South Carolina. 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· 35th of 51
$2,239
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.