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 $446.68 Median $1,288.25 Typical High $3,467.37 | Facility | None | $446.68 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $602.56 | Professional | None | $489.78 | $549.54 | $602.56 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $5,011.87 Typical High $9,549.93 | Facility | None | $0.02 | $5,011.87 | $9,549.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | None | $467.74 | $602.56 | $602.56 |
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 $309.03 Median $524.81 Typical High $1,995.26 | Facility | None | $309.03 | $524.81 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $562.34 | Professional | None | $371.54 | $426.58 | $562.34 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $707.95 | Professional | None | $323.59 | $426.58 | $707.95 |
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 $239.88 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $97.72 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $407.38 Typical High $446.68 | Professional | 54 · Surgery only | $363.08 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | 55 · Aftercare only | $72.44 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $48.98 | $54.95 | $60.26 |
Where Louisiana sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 19th of 51
$537
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.