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 $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $295.12 | Professional | None | $229.09 | $229.09 | $295.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,413.10 Median $8,317.64 Typical High $21,379.62 | Facility | None | $7,413.10 | $8,317.64 | $21,379.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | None | $251.19 | $323.59 | $323.59 |
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 $1,096.48 Median $1,096.48 Typical High $1,513.56 | Facility | None | $1,096.48 | $1,096.48 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $371.54 | Professional | None | $194.98 | $257.04 | $371.54 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $354.81 | Professional | None | $177.83 | $208.93 | $354.81 |
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 $114.82 Median $114.82 Typical High $147.91 | Professional | 52 · Reduced service | $114.82 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | 53 · Discontinued | $45.71 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $218.78 | Professional | 54 · Surgery only | $173.78 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $29.51 |
Where Louisiana sits
The same service costs 3.8 times more in Alaska 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· 8th of 51
$389
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.