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 $48.98 Median $1,258.93 Typical High $3,467.37 | Facility | None | $48.98 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $57.54 | Professional | None | $24.55 | $41.69 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
BCBS Louisiana Setting Facility Modifier None Typical Low $38.90 Median $117.49 Typical High $218.78 | Facility | None | $38.90 | $117.49 | $218.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $50.12 | Professional | None | $26.30 | $38.02 | $50.12 |
Christus Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
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 $19.50 Median $34.67 Typical High $50.12 | Professional | None | $19.50 | $34.67 | $50.12 |
United Setting Facility Modifier None Typical Low $79.43 Median $251.19 Typical High $1,202.26 | Facility | None | $79.43 | $251.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $57.54 | Professional | None | $22.91 | $37.15 | $57.54 |
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 $12.30 Median $20.89 Typical High $28.18 | Professional | 52 · Reduced service | $12.30 | $20.89 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $8.32 Typical High $11.22 | Professional | 53 · Discontinued | $4.90 | $8.32 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $30.90 Typical High $42.66 | Professional | 54 · Surgery only | $18.20 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $6.31 Typical High $8.51 | Professional | 55 · Aftercare only | $3.63 | $6.31 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $4.17 Typical High $5.62 | Professional | 56 · Pre-op care only | $2.45 | $4.17 | $5.62 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 23rd of 51
$45.71
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.