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 $83.18 Median $2,511.89 Typical High $3,890.45 | Facility | None | $83.18 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $102.33 | Professional | None | $64.57 | $81.28 | $102.33 |
BCBS Louisiana Setting Facility Modifier None Typical Low $40.74 Median $245.47 Typical High $588.84 | Facility | None | $40.74 | $245.47 | $588.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $89.13 | Professional | None | $58.88 | $72.44 | $89.13 |
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 $35.48 Median $66.07 Typical High $100.00 | Facility | None | $35.48 | $66.07 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $77.62 | Professional | None | $50.12 | $64.57 | $77.62 |
United Setting Facility Modifier None Typical Low $91.20 Median $389.05 Typical High $1,202.26 | Facility | None | $91.20 | $389.05 | $1,202.26 |
United Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $120.23 | Professional | None | $42.66 | $60.26 | $120.23 |
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 $32.36 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $32.36 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $12.88 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $60.26 Typical High $77.62 | Professional | 54 · Surgery only | $47.86 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.02 Typical High $15.49 | Professional | 55 · Aftercare only | $9.55 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.13 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.46 | $8.13 | $10.23 |
Where Louisiana sits
The same service costs 3.7 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· 30th of 51
$72.44
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.