How much rates vary
Facilitymedian $646 · 10th to 90th $0 to $7,079Professionalmedian $759 · 10th to 90th $575 to $1,096
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 $630.96 Median $2,691.53 Typical High $3,890.45 | Facility | None | $630.96 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $616.60 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | 26 · Professional part | $478.63 | $478.63 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $141.25 | $147.91 | $181.97 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $4,265.80 Typical High $7,943.28 | Facility | None | $0.02 | $4,265.80 | $7,943.28 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $478.63 | $616.60 | $616.60 |
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 Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $1,000.00 | Professional | None (both parts) | $537.03 | $691.83 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $524.81 Typical High $776.25 | Professional | 26 · Professional part | $407.38 | $524.81 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $128.82 | $162.18 | $234.42 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $794.33 Typical High $1,258.93 | Professional | None (both parts) | $707.95 | $794.33 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $501.19 Typical High $758.58 | Professional | 26 · Professional part | $407.38 | $501.19 | $758.58 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $275.42 | $338.84 | $524.81 |
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 $309.03 Median $309.03 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $125.89 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $467.74 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $63.10 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $63.10 | $79.43 |
Where Louisiana sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 29th of 51
$759
NE $2,818MD $501
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.