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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $234.42 | Professional | None | $79.43 | $158.49 | $234.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $380.19 | Facility | None | $91.20 | $169.82 | $380.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $67.61 Median $123.03 Typical High $162.18 | Professional | None | $67.61 | $123.03 | $162.18 |
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 Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $181.97 | Professional | None | $41.69 | $104.71 | $181.97 |
United Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $562.34 | Facility | None | $229.09 | $302.00 | $562.34 |
United Setting Professional Modifier None Typical Low $63.10 Median $138.04 Typical High $208.93 | Professional | None | $63.10 | $138.04 | $208.93 |
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 $42.66 Median $57.54 Typical High $117.49 | Professional | 52 · Reduced service | $42.66 | $57.54 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $22.91 Typical High $46.77 | Professional | 53 · Discontinued | $16.98 | $22.91 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $85.11 Typical High $173.78 | Professional | 54 · Surgery only | $64.57 | $85.11 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.98 Typical High $34.67 | Professional | 55 · Aftercare only | $12.88 | $16.98 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $11.48 Typical High $23.44 | Professional | 56 · Pre-op care only | $8.51 | $11.48 | $23.44 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska 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· 43rd of 51
$132
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.