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 $104.71 Median $2,511.89 Typical High $3,890.45 | Facility | None | $104.71 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $112.20 | Professional | None | $70.79 | $89.13 | $112.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $63.10 Median $173.78 Typical High $812.83 | Facility | None | $63.10 | $173.78 | $812.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $141.25 | Professional | None | $74.13 | $97.72 | $141.25 |
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 $56.23 Median $316.23 Typical High $676.08 | Facility | None | $56.23 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $151.36 | Professional | None | $60.26 | $95.50 | $151.36 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $144.54 | Professional | None | $58.88 | $91.20 | $144.54 |
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 $35.48 Median $47.86 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $70.79 Typical High $85.11 | Professional | 54 · Surgery only | $52.48 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.45 Typical High $16.98 | Professional | 55 · Aftercare only | $10.47 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.55 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.08 | $9.55 | $11.22 |
Where Louisiana sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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
$102
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.