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 $295.12 Median $1,288.25 Typical High $3,467.37 | Facility | None | $295.12 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $323.59 | Professional | None | $138.04 | $208.93 | $323.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $676.08 | Facility | None | $181.97 | $218.78 | $676.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $223.87 | Professional | None | $109.65 | $181.97 | $223.87 |
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 $66.07 Median $131.83 Typical High $251.19 | Professional | None | $66.07 | $131.83 | $251.19 |
United Setting Facility Modifier None Typical Low $467.74 Median $616.60 Typical High $1,122.02 | Facility | None | $467.74 | $616.60 | $1,122.02 |
United Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $302.00 | Professional | None | $104.71 | $194.98 | $302.00 |
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 $69.18 Median $93.33 Typical High $158.49 | Professional | 52 · Reduced service | $69.18 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $64.57 | Professional | 53 · Discontinued | $27.54 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $138.04 Typical High $239.88 | Professional | 54 · Surgery only | $102.33 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $27.54 Typical High $47.86 | Professional | 55 · Aftercare only | $20.89 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $18.62 Typical High $32.36 | Professional | 56 · Pre-op care only | $13.80 | $18.62 | $32.36 |
Where Louisiana sits
The same service costs 3.4 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· 38th of 51
$200
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.