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 $446.68 Median $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $537.03 | Professional | None | $331.13 | $426.58 | $537.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $891.25 Median $3,090.30 Typical High $8,317.64 | Facility | None | $891.25 | $3,090.30 | $8,317.64 |
BCBS Louisiana Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $616.60 | Professional | None | $363.08 | $446.68 | $616.60 |
Christus Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $3,630.78 | Facility | None | $512.86 | $831.76 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $676.08 | Professional | None | $288.40 | $426.58 | $676.08 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $5,754.40 | Facility | None | $275.42 | $630.96 | $5,754.40 |
United Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $630.96 | Professional | None | $281.84 | $416.87 | $630.96 |
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 $165.96 Median $213.80 Typical High $239.88 | Professional | 52 · Reduced service | $165.96 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $85.11 Typical High $95.50 | Professional | 53 · Discontinued | $66.07 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $323.59 Typical High $354.81 | Professional | 54 · Surgery only | $245.47 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $64.57 Typical High $70.79 | Professional | 55 · Aftercare only | $48.98 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $42.66 Typical High $47.86 | Professional | 56 · Pre-op care only | $33.11 | $42.66 | $47.86 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in New York. 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
$490
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.