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 $309.03 Median $1,288.25 Typical High $3,467.37 | Facility | None | $309.03 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $281.84 Typical High $371.54 | Professional | None | $102.33 | $281.84 | $371.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $251.19 Median $758.58 Typical High $2,454.71 | Facility | None | $251.19 | $758.58 | $2,454.71 |
BCBS Louisiana Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $331.13 | Professional | None | $97.72 | $173.78 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $524.81 Typical High $1,174.90 | Facility | None | $302.00 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $213.80 Typical High $489.78 | Professional | None | $89.13 | $213.80 | $489.78 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $93.33 Median $251.19 Typical High $446.68 | Professional | None | $93.33 | $251.19 | $446.68 |
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 $51.29 Median $85.11 Typical High $173.78 | Professional | 52 · Reduced service | $51.29 | $85.11 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $34.67 Typical High $69.18 | Professional | 53 · Discontinued | $20.89 | $34.67 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $128.82 Typical High $257.04 | Professional | 54 · Surgery only | $77.62 | $128.82 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $25.70 Typical High $51.29 | Professional | 55 · Aftercare only | $15.49 | $25.70 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $16.98 Typical High $34.67 | Professional | 56 · Pre-op care only | $10.23 | $16.98 | $34.67 |
Where Louisiana sits
The same service costs 4.3 times more in Oklahoma than in Nebraska. 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· 24th of 51
$309
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.