How much rates vary
Facilitymedian $2,188 · 10th to 90th $389 to $6,026Professionalmedian $794 · 10th to 90th $372 to $1,175
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 $512.86 Median $1,698.24 Typical High $6,606.93 | Facility | None | $512.86 | $1,698.24 | $6,606.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $794.33 Typical High $1,318.26 | Professional | None (both parts) | $776.25 | $794.33 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | 26 · Professional part | $269.15 | $269.15 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $524.81 Typical High $645.65 | Professional | TC · Technical part | $501.19 | $524.81 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $5,754.40 | Facility | None | $2,137.96 | $2,570.40 | $5,754.40 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $302.00 | $407.38 | $407.38 |
Christus Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $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 (both parts) Typical Low $630.96 Median $812.83 Typical High $1,174.90 | Professional | None (both parts) | $630.96 | $812.83 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $309.03 Typical High $446.68 | Professional | 26 · Professional part | $234.42 | $309.03 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $512.86 Typical High $741.31 | Professional | TC · Technical part | $295.12 | $512.86 | $741.31 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $724.44 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $724.44 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $281.84 Typical High $416.87 | Professional | 26 · Professional part | $234.42 | $281.84 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $489.78 Typical High $831.76 | Professional | TC · Technical part | $91.20 | $489.78 | $831.76 |
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 $380.19 Median $398.11 Typical High $489.78 | Professional | 52 · Reduced service | $380.19 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $194.98 | Professional | 53 · Discontinued | $154.88 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $588.84 Typical High $741.31 | Professional | 54 · Surgery only | $575.44 | $588.84 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $147.91 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $79.43 Typical High $97.72 | Professional | 56 · Pre-op care only | $77.62 | $79.43 | $97.72 |
Where Louisiana sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 15th of 51
$1,318
WI $2,630TX $603
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.