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 $72.44 Median $89.13 Typical High $104.71 | Professional | None | $72.44 | $89.13 | $104.71 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $204.17 Typical High $363.08 | Facility | None | $0.02 | $204.17 | $363.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $85.11 | Professional | None | $61.66 | $74.13 | $85.11 |
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 Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | None | $54.95 | $64.57 | $91.20 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $128.82 | Professional | None | $51.29 | $64.57 | $128.82 |
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 $36.31 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $14.79 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $66.07 Typical High $79.43 | Professional | 54 · Surgery only | $54.95 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.18 Typical High $15.85 | Professional | 55 · Aftercare only | $10.96 | $13.18 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.91 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.24 | $8.91 | $10.47 |
Where Louisiana sits
The same service costs 3.4 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· 26th of 51
$74.13
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.