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 $380.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $380.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $173.78 | Professional | None | $128.82 | $154.88 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,621.81 | $2,818.38 | $7,762.47 |
BCBS Louisiana Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | None | $162.18 | $213.80 | $213.80 |
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 $331.13 Median $645.65 Typical High $3,235.94 | Facility | None | $331.13 | $645.65 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $204.17 | Professional | None | $114.82 | $158.49 | $204.17 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $234.42 | Professional | None | $112.20 | $162.18 | $234.42 |
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 $64.57 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $114.82 Typical High $125.89 | Professional | 54 · Surgery only | $95.50 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $22.91 Typical High $25.12 | Professional | 55 · Aftercare only | $19.05 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.49 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.88 | $15.49 | $16.60 |
Where Louisiana sits
The same service costs 12.9 times more in Arkansas than in New York. 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· 5th of 51
$1,288
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.