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 $144.54 Median $2,511.89 Typical High $3,890.45 | Facility | None | $144.54 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $181.97 | Professional | None | $70.79 | $97.72 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $134.90 | Professional | None | $64.57 | $64.57 | $134.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $380.19 | Facility | None | $100.00 | $169.82 | $380.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $151.36 | Professional | None | $67.61 | $102.33 | $151.36 |
Christus Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $97.72 Typical High $147.91 | Professional | None | $51.29 | $97.72 | $147.91 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $169.82 | Professional | None | $60.26 | $109.65 | $169.82 |
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 $35.48 Median $45.71 Typical High $85.11 | Professional | 52 · Reduced service | $35.48 | $45.71 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.20 Typical High $33.88 | Professional | 53 · Discontinued | $14.13 | $18.20 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $67.61 Typical High $125.89 | Professional | 54 · Surgery only | $53.70 | $67.61 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.49 Typical High $25.12 | Professional | 55 · Aftercare only | $10.72 | $13.49 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.12 Typical High $16.98 | Professional | 56 · Pre-op care only | $7.08 | $9.12 | $16.98 |
Where Louisiana sits
The same service costs 3.1 times more in Alaska than in Kentucky. 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
$123
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.