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 $165.96 Median $169.82 Typical High $186.21 | Professional | None | $165.96 | $169.82 | $186.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $1,288.25 | Facility | None | $380.19 | $524.81 | $1,288.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $186.21 | Professional | None | $141.25 | $158.49 | $186.21 |
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 $331.13 Median $524.81 Typical High $776.25 | Facility | None | $331.13 | $524.81 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $199.53 | Professional | None | $91.20 | $138.04 | $199.53 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $223.87 | Professional | None | $100.00 | $141.25 | $223.87 |
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 $74.13 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $74.13 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $128.82 Typical High $138.04 | Professional | 54 · Surgery only | $112.20 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $25.70 Typical High $27.54 | Professional | 55 · Aftercare only | $22.39 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $16.98 Typical High $18.62 | Professional | 56 · Pre-op care only | $14.79 | $16.98 | $18.62 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in New York. 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· 9th of 51
$282
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.