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 $70.79 Median $93.33 Typical High $131.83 | Professional | None | $70.79 | $93.33 | $131.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $81.28 Median $218.78 Typical High $346.74 | Facility | None | $81.28 | $218.78 | $346.74 |
BCBS Louisiana Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $138.04 | Professional | None | $70.79 | $97.72 | $138.04 |
Christus Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $537.03 Typical High $776.25 | Facility | None | $309.03 | $537.03 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $125.89 | Professional | None | $60.26 | $87.10 | $125.89 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $128.82 | Professional | None | $52.48 | $81.28 | $128.82 |
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 $35.48 Median $46.77 Typical High $64.57 | Professional | 52 · Reduced service | $35.48 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.62 Typical High $26.30 | Professional | 53 · Discontinued | $14.13 | $18.62 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $70.79 Typical High $97.72 | Professional | 54 · Surgery only | $52.48 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $19.50 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.33 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.08 | $9.33 | $13.18 |
Where Louisiana sits
The same service costs 3.5 times more in Wisconsin 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· 18th of 51
$115
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.