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 $107.15 Median $128.82 Typical High $151.36 | Professional | None | $107.15 | $128.82 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $107.15 Typical High $194.98 | Facility | None | $0.02 | $107.15 | $194.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $181.97 | Professional | None | $102.33 | $134.90 | $181.97 |
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 Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $158.49 | Professional | None | $89.13 | $117.49 | $158.49 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $151.36 | Professional | None | $74.13 | $100.00 | $151.36 |
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 $53.70 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $95.50 Typical High $109.65 | Professional | 54 · Surgery only | $79.43 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.05 Typical High $21.88 | Professional | 55 · Aftercare only | $16.22 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.72 | $12.88 | $14.79 |
Where Louisiana sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 27th of 51
$123
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.