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 $57.54 Median $69.18 Typical High $75.86 | Professional | None | $57.54 | $69.18 | $75.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $436.52 Typical High $1,047.13 | Facility | None | $239.88 | $436.52 | $1,047.13 |
BCBS Louisiana Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $91.20 | Professional | None | $69.18 | $91.20 | $91.20 |
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 $269.15 Median $426.58 Typical High $676.08 | Facility | None | $269.15 | $426.58 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $93.33 | Professional | None | $48.98 | $58.88 | $93.33 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $100.00 | Professional | None | $40.74 | $54.95 | $100.00 |
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 $28.84 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $28.84 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $11.48 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $51.29 Typical High $56.23 | Professional | 54 · Surgery only | $42.66 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.23 Typical High $11.22 | Professional | 55 · Aftercare only | $8.51 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.92 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.75 | $6.92 | $7.59 |
Where Louisiana sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 23rd of 51
$70.79
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.