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 $812.83 Median $954.99 Typical High $1,071.52 | Professional | None | $812.83 | $954.99 | $1,071.52 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $3,630.78 Typical High $8,709.64 | Facility | None | $3,162.28 | $3,630.78 | $8,709.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,000.00 | Professional | None | $758.58 | $891.25 | $1,000.00 |
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 $524.81 Median $1,174.90 Typical High $4,365.16 | Facility | None | $524.81 | $1,174.90 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $977.24 | Professional | None | $446.68 | $776.25 | $977.24 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $6,606.93 | Facility | None | $446.68 | $954.99 | $6,606.93 |
United Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,148.15 | Professional | None | $549.54 | $724.44 | $1,148.15 |
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 $407.38 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $407.38 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $162.18 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $724.44 Typical High $776.25 | Professional | 54 · Surgery only | $602.56 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $144.54 Typical High $154.88 | Professional | 55 · Aftercare only | $120.23 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $95.50 Typical High $102.33 | Professional | 56 · Pre-op care only | $81.28 | $95.50 | $102.33 |
Where Louisiana sits
The same service costs 3.9 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· 18th of 51
$1,000
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.