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 $501.19 Median $1,288.25 Typical High $3,467.37 | Facility | None | $501.19 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $707.95 | Professional | None | $575.44 | $616.60 | $707.95 |
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 $467.74 Median $549.54 Typical High $602.56 | Professional | None | $467.74 | $549.54 | $602.56 |
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 $338.84 Median $467.74 Typical High $812.83 | Professional | None | $338.84 | $467.74 | $812.83 |
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 $467.74 Median $616.60 Typical High $977.24 | Professional | None | $467.74 | $616.60 | $977.24 |
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 $288.40 Median $309.03 Typical High $354.81 | Professional | 52 · Reduced service | $288.40 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $141.25 | Professional | 53 · Discontinued | $114.82 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $467.74 Typical High $524.81 | Professional | 54 · Surgery only | $426.58 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $93.33 Typical High $104.71 | Professional | 55 · Aftercare only | $85.11 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $61.66 Typical High $70.79 | Professional | 56 · Pre-op care only | $57.54 | $61.66 | $70.79 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Arkansas. 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· 43rd of 51
$525
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.