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 $724.44 Median $3,467.37 Typical High $6,760.83 | Facility | None | $724.44 | $3,467.37 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $933.25 | Professional | None | $630.96 | $724.44 | $933.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $9,772.37 Median $13,182.57 Typical High $29,512.09 | Facility | None | $9,772.37 | $13,182.57 | $29,512.09 |
BCBS Louisiana Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $851.14 | Professional | None | $645.65 | $776.25 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,174.90 Typical High $16,595.87 | Facility | None | $524.81 | $1,174.90 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,148.15 | Professional | None | $478.63 | $741.31 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,890.45 Typical High $15,848.93 | Facility | None | $1,348.96 | $3,890.45 | $15,848.93 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,174.90 | Professional | None | $562.34 | $758.58 | $1,174.90 |
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 $316.23 Median $354.81 Typical High $436.52 | Professional | 52 · Reduced service | $316.23 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $144.54 Typical High $173.78 | Professional | 53 · Discontinued | $125.89 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $537.03 Typical High $660.69 | Professional | 54 · Surgery only | $467.74 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $107.15 Typical High $131.83 | Professional | 55 · Aftercare only | $95.50 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $72.44 Typical High $87.10 | Professional | 56 · Pre-op care only | $63.10 | $72.44 | $87.10 |
Where Louisiana sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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· 17th of 51
$1,148
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.