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 $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 Typical Low $194.98 Median $208.93 Typical High $239.88 | Professional | None | $194.98 | $208.93 | $239.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $1,096.48 | Facility | None | $204.17 | $288.40 | $1,096.48 |
BCBS Louisiana Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $229.09 | Professional | None | $162.18 | $190.55 | $229.09 |
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 $141.25 Median $204.17 Typical High $295.12 | Facility | None | $141.25 | $204.17 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $275.42 | Professional | None | $117.49 | $162.18 | $275.42 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $338.84 | Professional | None | $169.82 | $223.87 | $338.84 |
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 $97.72 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $158.49 Typical High $177.83 | Professional | 54 · Surgery only | $144.54 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $36.31 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $20.89 Typical High $23.99 | Professional | 56 · Pre-op care only | $19.50 | $20.89 | $23.99 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 32nd 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.