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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $204.17 | Professional | None | $138.04 | $141.25 | $204.17 |
BCBS Louisiana Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $3,715.35 | Facility | None | $912.01 | $1,819.70 | $3,715.35 |
BCBS Louisiana Setting Professional Modifier None Typical Low $177.83 Median $234.42 Typical High $234.42 | Professional | None | $177.83 | $234.42 | $234.42 |
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 Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $239.88 | Professional | None | $128.82 | $181.97 | $239.88 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $263.03 | Professional | None | $117.49 | $151.36 | $263.03 |
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 $67.61 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $104.71 Typical High $141.25 | Professional | 54 · Surgery only | $102.33 | $104.71 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.89 Typical High $28.18 | Professional | 55 · Aftercare only | $20.42 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $13.80 | $14.13 | $18.62 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska 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· 24th of 51
$191
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.