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 $63.10 Median $131.83 Typical High $190.55 | Professional | None | $63.10 | $131.83 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $229.09 | Professional | None | $144.54 | $229.09 | $229.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $398.11 Typical High $1,348.96 | Facility | None | $123.03 | $398.11 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $169.82 | Professional | None | $61.66 | $93.33 | $169.82 |
Christus Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $524.81 Typical High $1,174.90 | Facility | None | $125.89 | $524.81 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $107.15 Typical High $169.82 | Professional | None | $46.77 | $107.15 | $169.82 |
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 $54.95 Median $123.03 Typical High $194.98 | Professional | None | $54.95 | $123.03 | $194.98 |
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 $32.36 Median $41.69 Typical High $89.13 | Professional | 52 · Reduced service | $32.36 | $41.69 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.60 Typical High $35.48 | Professional | 53 · Discontinued | $12.88 | $16.60 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $61.66 Typical High $131.83 | Professional | 54 · Surgery only | $47.86 | $61.66 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.30 Typical High $26.30 | Professional | 55 · Aftercare only | $9.55 | $12.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.32 Typical High $17.78 | Professional | 56 · Pre-op care only | $6.46 | $8.32 | $17.78 |
Where Louisiana sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 21st of 51
$155
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.