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 $501.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $501.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $933.25 | Professional | None | $707.95 | $831.76 | $933.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $2,344.23 | Facility | None | $398.11 | $467.74 | $2,344.23 |
BCBS Louisiana Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $870.96 | Professional | None | $660.69 | $794.33 | $870.96 |
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 $309.03 Median $489.78 Typical High $707.95 | Facility | None | $309.03 | $489.78 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $851.14 | Professional | None | $398.11 | $676.08 | $851.14 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,137.96 | Facility | None | $275.42 | $630.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,023.29 | Professional | None | $478.63 | $645.65 | $1,023.29 |
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 $354.81 Median $416.87 Typical High $446.68 | Professional | 52 · Reduced service | $354.81 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $165.96 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $630.96 Typical High $676.08 | Professional | 54 · Surgery only | $524.81 | $630.96 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $125.89 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $83.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $83.18 | $91.20 |
Where Louisiana sits
The same service costs 4.0 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· 27th of 51
$724
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.