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 $457.09 Median $1,513.56 Typical High $3,715.35 | Facility | None | $457.09 | $1,513.56 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $2,344.23 Typical High $4,168.69 | Professional | None | $257.04 | $2,344.23 | $4,168.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $11,481.54 | Facility | None | $3,715.35 | $5,495.41 | $11,481.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $245.47 Median $467.74 Typical High $3,467.37 | Professional | None | $245.47 | $467.74 | $3,467.37 |
Christus Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $6,918.31 | Facility | None | $524.81 | $1,174.90 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $691.83 Typical High $4,466.84 | Professional | None | $239.88 | $691.83 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,202.26 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $245.47 Median $2,818.38 Typical High $5,128.61 | Professional | None | $245.47 | $2,818.38 | $5,128.61 |
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 $128.82 Median $251.19 Typical High $2,041.74 | Professional | 52 · Reduced service | $128.82 | $251.19 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $100.00 Typical High $831.76 | Professional | 53 · Discontinued | $51.29 | $100.00 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $371.54 Typical High $3,090.30 | Professional | 54 · Surgery only | $190.55 | $371.54 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $75.86 Typical High $616.60 | Professional | 55 · Aftercare only | $38.02 | $75.86 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $50.12 Typical High $416.87 | Professional | 56 · Pre-op care only | $25.70 | $50.12 | $416.87 |
Where Louisiana sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 14th of 51
$3,090
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.