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 $537.03 Median $1,513.56 Typical High $3,548.13 | Facility | None | $537.03 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $891.25 Typical High $977.24 | Professional | None | $794.33 | $891.25 | $977.24 |
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 $758.58 Median $977.24 Typical High $977.24 | Professional | None | $758.58 | $977.24 | $977.24 |
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 $457.09 Median $707.95 Typical High $1,995.26 | Facility | None | $457.09 | $707.95 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $933.25 | Professional | None | $602.56 | $691.83 | $933.25 |
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 $512.86 Median $691.83 Typical High $1,122.02 | Professional | None | $512.86 | $691.83 | $1,122.02 |
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 $398.11 Median $446.68 Typical High $489.78 | Professional | 52 · Reduced service | $398.11 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $177.83 Typical High $194.98 | Professional | 53 · Discontinued | $158.49 | $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 $147.91 | Professional | 55 · Aftercare only | $117.49 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $89.13 Typical High $97.72 | Professional | 56 · Pre-op care only | $79.43 | $89.13 | $97.72 |
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· 18th 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.