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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $162.18 | Professional | None | $123.03 | $147.91 | $162.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $512.86 Typical High $3,090.30 | Facility | None | $239.88 | $512.86 | $3,090.30 |
BCBS Louisiana Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | None | $144.54 | $190.55 | $190.55 |
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 $524.81 Typical High $1,174.90 | Facility | None | $269.15 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $181.97 | Professional | None | $107.15 | $125.89 | $181.97 |
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 $83.18 Median $112.20 Typical High $177.83 | Professional | None | $83.18 | $112.20 | $177.83 |
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 $61.66 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $109.65 Typical High $120.23 | Professional | 54 · Surgery only | $93.33 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $22.39 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.79 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.30 | $14.79 | $16.22 |
Where Louisiana sits
The same service costs 4.8 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· 24th of 51
$148
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.