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 $575.44 Median $1,862.09 Typical High $3,715.35 | Facility | None | $575.44 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,445.44 Typical High $1,819.70 | Professional | None | $407.38 | $1,445.44 | $1,819.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,862.09 Median $3,467.37 Typical High $9,332.54 | Facility | None | $1,862.09 | $3,467.37 | $9,332.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $2,187.76 | Professional | None | $478.63 | $707.95 | $2,187.76 |
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 $1,174.90 Typical High $3,890.45 | Facility | None | $524.81 | $1,174.90 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $645.65 Typical High $1,862.09 | Professional | None | $338.84 | $645.65 | $1,862.09 |
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 $380.19 Median $1,348.96 Typical High $3,162.28 | Professional | None | $380.19 | $1,348.96 | $3,162.28 |
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 $204.17 Median $575.44 Typical High $912.01 | Professional | 52 · Reduced service | $204.17 | $575.44 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $234.42 Typical High $363.08 | Professional | 53 · Discontinued | $81.28 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $870.96 Typical High $1,380.38 | Professional | 54 · Surgery only | $309.03 | $870.96 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $173.78 Typical High $275.42 | Professional | 55 · Aftercare only | $61.66 | $173.78 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $117.49 Typical High $181.97 | Professional | 56 · Pre-op care only | $40.74 | $117.49 | $181.97 |
Where Louisiana sits
The same service costs 5.1 times more in Alaska than in Nebraska. 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· 14th of 51
$1,820
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.