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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $131.83 | Professional | None | $83.18 | $93.33 | $131.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $39.81 Median $218.78 Typical High $1,288.25 | Facility | None | $39.81 | $218.78 | $1,288.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $131.83 | Professional | None | $69.18 | $91.20 | $131.83 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $316.23 Typical High $676.08 | Facility | None | $54.95 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $131.83 | Professional | None | $63.10 | $87.10 | $131.83 |
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 $54.95 Median $91.20 Typical High $194.98 | Professional | None | $54.95 | $91.20 | $194.98 |
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 $41.69 Median $46.77 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $26.30 | Professional | 53 · Discontinued | $16.60 | $18.62 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $69.18 Typical High $97.72 | Professional | 54 · Surgery only | $61.66 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.80 Typical High $19.50 | Professional | 55 · Aftercare only | $12.30 | $13.80 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.33 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.32 | $9.33 | $13.18 |
Where Louisiana sits
The same service costs 3.2 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· 24th of 51
$105
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.