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 $380.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $380.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $194.98 | Professional | None | $169.82 | $173.78 | $194.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $10,000.00 | Facility | None | $3,890.45 | $4,365.16 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | None | $154.88 | $190.55 | $190.55 |
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 $446.68 Median $676.08 Typical High $7,079.46 | Facility | None | $446.68 | $676.08 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $199.53 | Professional | None | $120.23 | $138.04 | $199.53 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,912.51 | Facility | None | $1,047.13 | $2,238.72 | $8,912.51 |
United Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $208.93 | Professional | None | $97.72 | $125.89 | $208.93 |
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 $85.11 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $34.67 Typical High $38.90 | Professional | 53 · Discontinued | $33.88 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $128.82 Typical High $144.54 | Professional | 54 · Surgery only | $125.89 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.70 Typical High $28.84 | Professional | 55 · Aftercare only | $25.12 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $17.38 Typical High $19.50 | Professional | 56 · Pre-op care only | $16.98 | $17.38 | $19.50 |
Where Louisiana sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 17th of 51
$174
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.