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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $630.96 | Professional | None | $478.63 | $562.34 | $630.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $8,709.64 | Facility | None | $3,162.28 | $3,548.13 | $8,709.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $588.84 | Professional | None | $446.68 | $524.81 | $588.84 |
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 $331.13 Median $645.65 Typical High $4,365.16 | Facility | None | $331.13 | $645.65 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $575.44 | Professional | None | $263.03 | $446.68 | $575.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,760.83 | Facility | None | $851.14 | $1,548.82 | $6,760.83 |
United Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $660.69 | Professional | None | $323.59 | $426.58 | $660.69 |
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 $234.42 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $426.58 Typical High $457.09 | Professional | 54 · Surgery only | $354.81 | $426.58 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $85.11 Typical High $91.20 | Professional | 55 · Aftercare only | $70.79 | $85.11 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $47.86 | $56.23 | $60.26 |
Where Louisiana sits
The same service costs 7.8 times more in Oklahoma than in New York. 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· 19th of 51
$661
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.