How much rates vary
Facilitymedian $282 · 10th to 90th $54 to $1,202Professionalmedian $166 · 10th to 90th $120 to $214
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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $165.96 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $147.91 | $154.88 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | TC · Technical part | $15.49 | $15.49 | $17.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $53.70 Median $229.09 Typical High $501.19 | Facility | None | $53.70 | $229.09 | $501.19 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $147.91 | $186.21 | $208.93 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $165.96 Typical High $186.21 | Professional | 26 · Professional part | $138.04 | $165.96 | $186.21 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $23.44 | Professional | TC · Technical part | $15.85 | $19.95 | $23.44 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $75.86 Typical High $251.19 | Facility | None | $15.85 | $75.86 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $91.20 | $162.18 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $144.54 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $17.38 Typical High $20.42 | Professional | TC · Technical part | $10.47 | $17.38 | $20.42 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $134.90 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $134.90 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $13.49 Typical High $20.89 | Professional | TC · Technical part | $9.33 | $13.49 | $20.89 |
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 $81.28 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $81.28 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $33.11 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $128.82 Typical High $141.25 | Professional | 54 · Surgery only | $123.03 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $25.70 Typical High $28.18 | Professional | 55 · Aftercare only | $24.55 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.98 Typical High $19.05 | Professional | 56 · Pre-op care only | $16.60 | $16.98 | $19.05 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 20th of 51
$174
AK $490AL $105
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.