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 $229.09 Median $331.13 Typical High $501.19 | Professional | None | $229.09 | $331.13 | $501.19 |
BCBS Louisiana Setting Facility Modifier None Typical Low $512.86 Median $1,778.28 Typical High $4,168.69 | Facility | None | $512.86 | $1,778.28 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $478.63 | Professional | None | $177.83 | $316.23 | $478.63 |
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 Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $457.09 | Professional | None | $165.96 | $295.12 | $457.09 |
United Setting Facility Modifier None Typical Low $213.80 Median $660.69 Typical High $1,258.93 | Facility | None | $213.80 | $660.69 | $1,258.93 |
United Setting Professional Modifier None Typical Low $162.18 Median $309.03 Typical High $501.19 | Professional | None | $162.18 | $309.03 | $501.19 |
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 $114.82 Median $147.91 Typical High $251.19 | Professional | 52 · Reduced service | $114.82 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $58.88 Typical High $100.00 | Professional | 53 · Discontinued | $45.71 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $218.78 Typical High $380.19 | Professional | 54 · Surgery only | $173.78 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $43.65 Typical High $75.86 | Professional | 55 · Aftercare only | $34.67 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $29.51 Typical High $50.12 | Professional | 56 · Pre-op care only | $22.91 | $29.51 | $50.12 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 22nd of 51
$339
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.