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 $35.48 Median $44.67 Typical High $57.54 | Professional | None | $35.48 | $44.67 | $57.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $676.08 Typical High $1,348.96 | Facility | None | $0.02 | $676.08 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $58.88 | Professional | None | $38.02 | $45.71 | $58.88 |
Christus Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $2,691.53 | Facility | None | $309.03 | $549.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $40.74 Typical High $63.10 | Professional | None | $25.70 | $40.74 | $63.10 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $67.61 | Professional | None | $30.20 | $43.65 | $67.61 |
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 $17.78 Median $21.88 Typical High $25.12 | Professional | 52 · Reduced service | $17.78 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.91 Typical High $10.00 | Professional | 53 · Discontinued | $7.08 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $33.11 Typical High $38.02 | Professional | 54 · Surgery only | $26.92 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.61 Typical High $7.59 | Professional | 55 · Aftercare only | $5.37 | $6.61 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.47 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.55 | $4.47 | $5.01 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska 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· 31st of 51
$45.71
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.