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 $741.31 Median $851.14 Typical High $912.01 | Professional | None | $741.31 | $851.14 | $912.01 |
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 $645.65 Median $831.76 Typical High $831.76 | Professional | None | $645.65 | $831.76 | $831.76 |
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 $588.84 Median $676.08 Typical High $891.25 | Professional | None | $588.84 | $676.08 | $891.25 |
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 $288.40 Median $457.09 Typical High $812.83 | Professional | None | $288.40 | $457.09 | $812.83 |
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 $371.54 Median $416.87 Typical High $457.09 | Professional | 52 · Reduced service | $371.54 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $169.82 Typical High $181.97 | Professional | 53 · Discontinued | $147.91 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $630.96 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $125.89 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $85.11 Typical High $91.20 | Professional | 56 · Pre-op care only | $74.13 | $85.11 | $91.20 |
Where Louisiana sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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
$832
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.