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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $158.49 | Professional | None | $100.00 | $114.82 | $158.49 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1.15 Median $812.83 Typical High $1,905.46 | Facility | None | $1.15 | $812.83 | $1,905.46 |
BCBS Louisiana Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $177.83 | Professional | None | $95.50 | $131.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $123.03 Typical High $186.21 | Professional | None | $72.44 | $123.03 | $186.21 |
United Setting Facility Modifier None Typical Low $457.09 Median $1,698.24 Typical High $5,754.40 | Facility | None | $457.09 | $1,698.24 | $5,754.40 |
United Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $194.98 | Professional | None | $83.18 | $131.83 | $194.98 |
4 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 $50.12 Median $57.54 Typical High $79.43 | Professional | 52 · Reduced service | $50.12 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $31.62 | Professional | 53 · Discontinued | $19.95 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $17.38 Typical High $23.99 | Professional | 55 · Aftercare only | $15.14 | $17.38 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.48 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.00 | $11.48 | $15.85 |
Where Louisiana sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 27th of 51
$155
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.