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 $147.91 Median $177.83 Typical High $194.98 | Professional | None | $147.91 | $177.83 | $194.98 |
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 $173.78 Median $229.09 Typical High $229.09 | Professional | None | $173.78 | $229.09 | $229.09 |
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 $446.68 Typical High $707.95 | Facility | None | $269.15 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $229.09 | Professional | None | $125.89 | $147.91 | $229.09 |
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 $102.33 Median $134.90 Typical High $239.88 | Professional | None | $102.33 | $134.90 | $239.88 |
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 $74.13 Median $89.13 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $35.48 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $134.90 Typical High $144.54 | Professional | 54 · Surgery only | $112.20 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $26.92 Typical High $28.84 | Professional | 55 · Aftercare only | $22.39 | $26.92 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $17.78 Typical High $19.50 | Professional | 56 · Pre-op care only | $14.79 | $17.78 | $19.50 |
Where Louisiana sits
The same service costs 5.1 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· 23rd of 51
$178
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.