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 $338.84 Median $346.74 Typical High $389.05 | Professional | None | $338.84 | $346.74 | $389.05 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $5,370.32 | Facility | None | $1,513.56 | $1,698.24 | $5,370.32 |
BCBS Louisiana Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $467.74 | Professional | None | $223.87 | $309.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $2,344.23 | Facility | None | $446.68 | $676.08 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $436.52 | Professional | None | $223.87 | $269.15 | $436.52 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,548.82 Typical High $6,025.60 | Facility | None | $831.76 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $436.52 | Professional | None | $204.17 | $263.03 | $436.52 |
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 $169.82 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $169.82 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $67.61 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $288.40 | Professional | 54 · Surgery only | $257.04 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $57.54 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $34.67 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $34.67 | $38.90 |
Where Louisiana sits
The same service costs 4.6 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· 21st of 51
$339
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.