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 $1,862.09 Typical High $3,715.35 | Facility | None | $457.09 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | None | $165.96 | $194.98 | $223.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,981.07 Median $4,786.30 Typical High $11,220.18 | Facility | None | $3,981.07 | $4,786.30 | $11,220.18 |
BCBS Louisiana Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $251.19 | Professional | None | $190.55 | $229.09 | $251.19 |
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 $1,071.52 Typical High $5,011.87 | Facility | None | $524.81 | $1,071.52 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $251.19 | Professional | None | $125.89 | $190.55 | $251.19 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,302.69 | Facility | None | $1,348.96 | $3,801.89 | $12,302.69 |
United Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $295.12 | Professional | None | $134.90 | $208.93 | $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 $81.28 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $81.28 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $33.11 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $147.91 Typical High $158.49 | Professional | 54 · Surgery only | $123.03 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $29.51 Typical High $31.62 | Professional | 55 · Aftercare only | $24.55 | $29.51 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.50 Typical High $21.38 | Professional | 56 · Pre-op care only | $16.60 | $19.50 | $21.38 |
Where Louisiana sits
The same service costs 20.4 times more in Kansas 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
$1,862
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.