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 $575.44 Median $1,513.56 Typical High $3,548.13 | Facility | None | $575.44 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,047.13 | Professional | None | $758.58 | $977.24 | $1,047.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $7,079.46 | Facility | None | $2,089.30 | $3,090.30 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $2,754.23 | Facility | None | $524.81 | $1,174.90 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $269.15 | Professional | None | $134.90 | $218.78 | $269.15 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $6,025.60 | Facility | None | $851.14 | $1,584.89 | $6,025.60 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,202.26 | Professional | None | $562.34 | $812.83 | $1,202.26 |
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 $489.78 Typical High $524.81 | Professional | 52 · Reduced service | $407.38 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $194.98 Typical High $208.93 | Professional | 53 · Discontinued | $162.18 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $741.31 Typical High $776.25 | Professional | 54 · Surgery only | $602.56 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $147.91 Typical High $154.88 | Professional | 55 · Aftercare only | $123.03 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $97.72 Typical High $104.71 | Professional | 56 · Pre-op care only | $81.28 | $97.72 | $104.71 |
Where Louisiana sits
The same service costs 53.7 times more in Alaska 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· 12th of 51
$1,202
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.