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 $10.00 Median $12.02 Typical High $34.67 | Facility | None | $10.00 | $12.02 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $23.44 Typical High $38.02 | Professional | None | $10.00 | $23.44 | $38.02 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $1.41 Typical High $2.57 | Facility | None | $0.02 | $1.41 | $2.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $12.59 Median $19.05 Typical High $53.70 | Professional | None | $12.59 | $19.05 | $53.70 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,000.00 Typical High $7,585.78 | Facility | None | $524.81 | $1,000.00 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $21.88 Typical High $46.77 | Professional | None | $9.77 | $21.88 | $46.77 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $9.77 Median $23.99 Typical High $45.71 | Professional | None | $9.77 | $23.99 | $45.71 |
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 $5.01 Median $14.79 Typical High $18.62 | Professional | 52 · Reduced service | $5.01 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $5.89 Typical High $7.41 | Professional | 53 · Discontinued | $2.00 | $5.89 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.59 Median $21.88 Typical High $28.18 | Professional | 54 · Surgery only | $7.59 | $21.88 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $4.37 Typical High $5.62 | Professional | 55 · Aftercare only | $1.51 | $4.37 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $2.95 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.00 | $2.95 | $3.72 |
Where Louisiana sits
The same service costs 4.2 times more in Wisconsin than in Nebraska. 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· 36th of 51
$28.84
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.