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 $104.71 Median $162.18 Typical High $208.93 | Professional | None | $104.71 | $162.18 | $208.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $114.82 Median $575.44 Typical High $1,862.09 | Facility | None | $114.82 | $575.44 | $1,862.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $218.78 | Professional | None | $107.15 | $151.36 | $218.78 |
Christus Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
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 $89.13 Median $131.83 Typical High $204.17 | Professional | None | $89.13 | $131.83 | $204.17 |
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 $77.62 Median $131.83 Typical High $223.87 | Professional | None | $77.62 | $131.83 | $223.87 |
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 $51.29 Median $69.18 Typical High $104.71 | Professional | 52 · Reduced service | $51.29 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $27.54 Typical High $41.69 | Professional | 53 · Discontinued | $20.89 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $102.33 Typical High $158.49 | Professional | 54 · Surgery only | $77.62 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $20.42 Typical High $31.62 | Professional | 55 · Aftercare only | $15.49 | $20.42 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.80 Typical High $20.89 | Professional | 56 · Pre-op care only | $10.23 | $13.80 | $20.89 |
Where Louisiana sits
The same service costs 3.6 times more in Wisconsin than in Kentucky. 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
$182
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.