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 $512.86 Median $1,513.56 Typical High $3,548.13 | Facility | None | $512.86 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,621.81 Typical High $2,754.23 | Professional | None | $489.78 | $1,621.81 | $2,754.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $4,073.80 | Facility | None | $1,659.59 | $2,089.30 | $4,073.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $2,570.40 | Professional | None | $501.19 | $741.31 | $2,570.40 |
Christus Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,445.44 Typical High $3,019.95 | Facility | None | $524.81 | $1,445.44 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,122.02 Typical High $2,290.87 | Professional | None | $426.58 | $1,122.02 | $2,290.87 |
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 $371.54 Median $1,513.56 Typical High $2,818.38 | Professional | None | $371.54 | $1,513.56 | $2,818.38 |
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 $245.47 Median $524.81 Typical High $1,348.96 | Professional | 52 · Reduced service | $245.47 | $524.81 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $208.93 Typical High $537.03 | Professional | 53 · Discontinued | $97.72 | $208.93 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $794.33 Typical High $2,041.74 | Professional | 54 · Surgery only | $363.08 | $794.33 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $158.49 Typical High $407.38 | Professional | 55 · Aftercare only | $72.44 | $158.49 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $104.71 Typical High $269.15 | Professional | 56 · Pre-op care only | $48.98 | $104.71 | $269.15 |
Where Louisiana sits
The same service costs 3.6 times more in Iowa than in Nebraska. 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· 17th of 51
$1,820
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.