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 $194.98 Median $229.09 Typical High $269.15 | Professional | None | $194.98 | $229.09 | $269.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $107.15 Median $537.03 Typical High $1,318.26 | Facility | None | $107.15 | $537.03 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $302.00 | Professional | None | $181.97 | $245.47 | $302.00 |
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 $100.00 Median $316.23 Typical High $676.08 | Facility | None | $100.00 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $269.15 | Professional | None | $131.83 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,187.76 | Facility | None | $275.42 | $630.96 | $2,187.76 |
United Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $295.12 | Professional | None | $138.04 | $186.21 | $295.12 |
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 $95.50 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $95.50 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $38.90 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $165.96 Typical High $186.21 | Professional | 54 · Surgery only | $144.54 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $33.11 Typical High $37.15 | Professional | 55 · Aftercare only | $28.84 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $22.39 Typical High $24.55 | Professional | 56 · Pre-op care only | $19.50 | $22.39 | $24.55 |
Where Louisiana sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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
$234
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.