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 $1,513.56 Median $1,862.09 Typical High $6,456.54 | Facility | None | $1,513.56 | $1,862.09 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $3,388.44 | Professional | None | $1,513.56 | $1,698.24 | $3,388.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7,762.47 Median $13,803.84 Typical High $19,498.45 | Facility | None | $7,762.47 | $13,803.84 | $19,498.45 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,454.71 | $2,454.71 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $5,495.41 Typical High $11,748.98 | Facility | None | $1,148.15 | $5,495.41 | $11,748.98 |
United Setting Professional Modifier None Typical Low $158.49 Median $2,089.30 Typical High $4,265.80 | Professional | None | $158.49 | $2,089.30 | $4,265.80 |
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 $758.58 Median $776.25 Typical High $891.25 | Professional | 52 · Reduced service | $758.58 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $354.81 | Professional | 53 · Discontinued | $302.00 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $234.42 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $154.88 Typical High $177.83 | Professional | 56 · Pre-op care only | $151.36 | $154.88 | $177.83 |
Where Louisiana sits
The same service costs 14.1 times more in Alaska than in Missouri. 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
$2,951
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.