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 $38.90 Median $2,187.76 Typical High $3,890.45 | Facility | None | $38.90 | $2,187.76 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $47.86 | Professional | None | $33.88 | $40.74 | $47.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $81.28 Median $223.87 Typical High $363.08 | Facility | None | $81.28 | $223.87 | $363.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $32.36 | Professional | None | $22.91 | $27.54 | $32.36 |
Christus Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
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 $19.50 Median $22.91 Typical High $37.15 | Professional | None | $19.50 | $22.91 | $37.15 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $22.91 Median $40.74 Typical High $89.13 | Professional | None | $22.91 | $40.74 | $89.13 |
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 $16.98 Median $19.50 Typical High $22.91 | Professional | 52 · Reduced service | $16.98 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $9.12 | Professional | 53 · Discontinued | $6.76 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $29.51 Typical High $34.67 | Professional | 54 · Surgery only | $25.70 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.89 Typical High $6.92 | Professional | 55 · Aftercare only | $5.13 | $5.89 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.89 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.39 | $3.89 | $4.57 |
Where Louisiana sits
The same service costs 4.3 times more in Wyoming than in New York. 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· 35th of 51
$38.02
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.