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 $169.82 Median $2,511.89 Typical High $3,890.45 | Facility | None | $169.82 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $190.55 | Professional | None | $131.83 | $162.18 | $190.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $870.96 | Facility | None | $213.80 | $389.05 | $870.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $165.96 | Professional | None | $117.49 | $141.25 | $165.96 |
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 $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $147.91 | Professional | None | $104.71 | $117.49 | $147.91 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $208.93 | Professional | None | $89.13 | $114.82 | $208.93 |
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 $66.07 Median $81.28 Typical High $95.50 | Professional | 52 · Reduced service | $66.07 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $38.02 | Professional | 53 · Discontinued | $26.30 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | 54 · Surgery only | $100.00 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $23.99 Typical High $28.18 | Professional | 55 · Aftercare only | $19.95 | $23.99 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $16.22 Typical High $19.05 | Professional | 56 · Pre-op care only | $13.18 | $16.22 | $19.05 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$145
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.