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 $33.11 Median $57.54 Typical High $75.86 | Professional | None | $33.11 | $57.54 | $75.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $251.19 Typical High $478.63 | Facility | None | $0.02 | $251.19 | $478.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $31.62 Median $46.77 Typical High $67.61 | Professional | None | $31.62 | $46.77 | $67.61 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $2,691.53 | Facility | None | $75.86 | $100.00 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $43.65 Typical High $66.07 | Professional | None | $23.44 | $43.65 | $66.07 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $77.62 | Professional | None | $26.92 | $48.98 | $77.62 |
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 $16.60 Median $20.89 Typical High $35.48 | Professional | 52 · Reduced service | $16.60 | $20.89 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.32 Typical High $14.13 | Professional | 53 · Discontinued | $6.61 | $8.32 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $30.90 Typical High $53.70 | Professional | 54 · Surgery only | $24.55 | $30.90 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.17 Typical High $10.72 | Professional | 55 · Aftercare only | $5.01 | $6.17 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.17 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.31 | $4.17 | $7.08 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 26th of 51
$57.54
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.