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 $407.38 Median $1,288.25 Typical High $3,467.37 | Facility | None | $407.38 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $524.81 | Professional | None | $338.84 | $416.87 | $524.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $204.17 Median $251.19 Typical High $588.84 | Facility | None | $204.17 | $251.19 | $588.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $446.68 | Professional | None | $323.59 | $371.54 | $446.68 |
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 $181.97 Median $389.05 Typical High $707.95 | Facility | None | $181.97 | $389.05 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $549.54 | Professional | None | $218.78 | $316.23 | $549.54 |
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 $316.23 Median $446.68 Typical High $676.08 | Professional | None | $316.23 | $446.68 | $676.08 |
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 $169.82 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $169.82 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | 53 · Discontinued | $67.61 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $251.19 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $50.12 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $41.69 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.88 | $41.69 | $51.29 |
Where Louisiana sits
The same service costs 2.9 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· 39th of 51
$398
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.