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 $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | None | $218.78 | $239.88 | $269.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $588.84 | Facility | None | $204.17 | $263.03 | $588.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $257.04 | Professional | None | $181.97 | $213.80 | $257.04 |
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 $75.86 Median $151.36 Typical High $389.05 | Facility | None | $75.86 | $151.36 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $309.03 | Professional | None | $131.83 | $181.97 | $309.03 |
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 $190.55 Median $257.04 Typical High $389.05 | Professional | None | $190.55 | $257.04 | $389.05 |
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 $109.65 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $177.83 Typical High $204.17 | Professional | 54 · Surgery only | $165.96 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $36.31 Typical High $40.74 | Professional | 55 · Aftercare only | $33.11 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.99 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.88 | $23.99 | $26.92 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 34th of 51
$240
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.