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 $190.55 Median $229.09 Typical High $251.19 | Professional | None | $190.55 | $229.09 | $251.19 |
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 $234.42 Median $309.03 Typical High $309.03 | Professional | None | $234.42 | $309.03 | $309.03 |
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 $165.96 Median $194.98 Typical High $309.03 | Professional | None | $165.96 | $194.98 | $309.03 |
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 $107.15 Median $162.18 Typical High $295.12 | Professional | None | $107.15 | $162.18 | $295.12 |
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 $95.50 Median $114.82 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $173.78 Typical High $190.55 | Professional | 54 · Surgery only | $144.54 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $34.67 Typical High $38.02 | Professional | 55 · Aftercare only | $28.84 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $22.91 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.05 | $22.91 | $25.12 |
Where Louisiana sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 19th of 51
$234
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.