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 $776.25 Median $891.25 Typical High $954.99 | Professional | None | $776.25 | $891.25 | $954.99 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | None | $741.31 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $5,754.40 | Facility | None | $724.44 | $1,995.26 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $933.25 | Professional | None | $616.60 | $707.95 | $933.25 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $8,128.31 | Facility | None | $1,047.13 | $1,949.84 | $8,128.31 |
United Setting Professional Modifier None Typical Low $257.04 Median $512.86 Typical High $954.99 | Professional | None | $257.04 | $512.86 | $954.99 |
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 $389.05 Median $446.68 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $177.83 Typical High $194.98 | Professional | 53 · Discontinued | $154.88 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $660.69 Typical High $724.44 | Professional | 54 · Surgery only | $588.84 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $131.83 Typical High $144.54 | Professional | 55 · Aftercare only | $117.49 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $89.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $89.13 | $95.50 |
Where Louisiana sits
The same service costs 10.0 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· 8th of 51
$871
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.