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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,862.09 Typical High $2,951.21 | Professional | None | $407.38 | $1,862.09 | $2,951.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,677.35 Median $8,317.64 Typical High $12,022.64 | Facility | None | $4,677.35 | $8,317.64 | $12,022.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $3,311.31 | Professional | None | $478.63 | $776.25 | $3,311.31 |
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 $380.19 Median $954.99 Typical High $2,884.03 | Professional | None | $380.19 | $954.99 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $7,413.10 Typical High $13,182.57 | Facility | None | $1,348.96 | $7,413.10 | $13,182.57 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,905.46 Typical High $3,981.07 | Professional | None | $371.54 | $1,905.46 | $3,981.07 |
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 $204.17 Median $831.76 Typical High $1,479.11 | Professional | 52 · Reduced service | $204.17 | $831.76 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $331.13 Typical High $588.84 | Professional | 53 · Discontinued | $81.28 | $331.13 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $1,230.27 Typical High $2,187.76 | Professional | 54 · Surgery only | $302.00 | $1,230.27 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $245.47 Typical High $436.52 | Professional | 55 · Aftercare only | $61.66 | $245.47 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $165.96 Typical High $295.12 | Professional | 56 · Pre-op care only | $40.74 | $165.96 | $295.12 |
Where Louisiana sits
The same service costs 6.9 times more in Wisconsin than in Hawaii. 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· 22nd of 51
$2,042
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.