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 $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $338.84 Typical High $398.11 | Professional | None | $144.54 | $338.84 | $398.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $1,096.48 | Facility | None | $354.81 | $707.95 | $1,096.48 |
BCBS Louisiana Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $162.18 | Professional | None | $117.49 | $154.88 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,659.59 | Facility | None | $501.19 | $831.76 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $758.58 | Professional | None | $199.53 | $416.87 | $758.58 |
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 $72.44 Median $114.82 Typical High $199.53 | Professional | 52 · Reduced service | $72.44 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $45.71 Typical High $79.43 | Professional | 53 · Discontinued | $28.84 | $45.71 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $169.82 Typical High $295.12 | Professional | 54 · Surgery only | $109.65 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $33.88 Typical High $58.88 | Professional | 55 · Aftercare only | $21.88 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $22.91 Typical High $39.81 | Professional | 56 · Pre-op care only | $14.45 | $22.91 | $39.81 |
Where Louisiana sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 33rd of 51
$347
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.