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 $38.02 Median $42.66 Typical High $51.29 | Professional | None | $38.02 | $42.66 | $51.29 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $776.25 Typical High $1,479.11 | Facility | None | $0.02 | $776.25 | $1,479.11 |
BCBS Louisiana Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $42.66 | Professional | None | $31.62 | $36.31 | $42.66 |
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 $346.74 Median $537.03 Typical High $1,995.26 | Facility | None | $346.74 | $537.03 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $37.15 | Professional | None | $28.18 | $32.36 | $37.15 |
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 $23.44 Median $30.90 Typical High $54.95 | Professional | None | $23.44 | $30.90 | $54.95 |
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 $18.62 Median $21.38 Typical High $25.12 | Professional | 52 · Reduced service | $18.62 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $32.36 Typical High $38.02 | Professional | 54 · Surgery only | $28.18 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.46 Typical High $7.59 | Professional | 55 · Aftercare only | $5.62 | $6.46 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.27 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.80 | $4.27 | $5.01 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 22nd of 51
$39.81
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.