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 $89.13 Median $2,511.89 Typical High $3,890.45 | Facility | None | $89.13 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $117.49 | Professional | None | $60.26 | $89.13 | $117.49 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $151.36 | Professional | None | $74.13 | $102.33 | $151.36 |
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 $524.81 Median $1,000.00 Typical High $7,585.78 | Facility | None | $524.81 | $1,000.00 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $141.25 | Professional | None | $52.48 | $89.13 | $141.25 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $199.53 | Professional | None | $58.88 | $102.33 | $199.53 |
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 $30.20 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $30.20 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $12.02 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $67.61 Typical High $87.10 | Professional | 54 · Surgery only | $45.71 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $13.49 Typical High $17.38 | Professional | 55 · Aftercare only | $9.12 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $8.91 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.03 | $8.91 | $11.75 |
Where Louisiana sits
The same service costs 3.7 times more in Wisconsin 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· 34th of 51
$100
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.