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 $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $562.34 Typical High $707.95 | Professional | None | $181.97 | $562.34 | $707.95 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $1,071.52 Typical High $1,819.70 | Facility | None | $0.02 | $1,071.52 | $1,819.70 |
BCBS Louisiana Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $912.01 | Professional | None | $208.93 | $380.19 | $912.01 |
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 Professional Modifier None Typical Low $165.96 Median $371.54 Typical High $794.33 | Professional | None | $165.96 | $371.54 | $794.33 |
United Setting Facility Modifier None Typical Low $213.80 Median $660.69 Typical High $1,258.93 | Facility | None | $213.80 | $660.69 | $1,258.93 |
United Setting Professional Modifier None Typical Low $158.49 Median $380.19 Typical High $912.01 | Professional | None | $158.49 | $380.19 | $912.01 |
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 $89.13 Median $251.19 Typical High $354.81 | Professional | 52 · Reduced service | $89.13 | $251.19 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $100.00 Typical High $141.25 | Professional | 53 · Discontinued | $36.31 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $371.54 Typical High $537.03 | Professional | 54 · Surgery only | $134.90 | $371.54 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $74.13 Typical High $107.15 | Professional | 55 · Aftercare only | $26.92 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $50.12 Typical High $70.79 | Professional | 56 · Pre-op care only | $17.78 | $50.12 | $70.79 |
Where Louisiana sits
The same service costs 3.5 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· 34th of 51
$468
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.