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 $87.10 Median $2,511.89 Typical High $3,890.45 | Facility | None | $87.10 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $112.20 | Professional | None | $53.70 | $79.43 | $112.20 |
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 $53.70 Median $79.43 Typical High $120.23 | Professional | None | $53.70 | $79.43 | $120.23 |
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 $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $109.65 | Professional | None | $44.67 | $64.57 | $109.65 |
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 $39.81 Median $66.07 Typical High $114.82 | Professional | None | $39.81 | $66.07 | $114.82 |
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 $26.92 Median $35.48 Typical High $54.95 | Professional | 52 · Reduced service | $26.92 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $14.13 Typical High $21.88 | Professional | 53 · Discontinued | $10.72 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $53.70 Typical High $83.18 | Professional | 54 · Surgery only | $39.81 | $53.70 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.72 Typical High $16.60 | Professional | 55 · Aftercare only | $7.94 | $10.72 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.08 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.37 | $7.08 | $10.96 |
Where Louisiana sits
The same service costs 3.4 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· 23rd of 51
$87.10
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.