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 $81.28 Median $2,511.89 Typical High $3,890.45 | Facility | None | $81.28 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $95.50 | Professional | None | $57.54 | $77.62 | $95.50 |
BCBS Louisiana Setting Facility Modifier None Typical Low $51.29 Median $181.97 Typical High $446.68 | Facility | None | $51.29 | $181.97 | $446.68 |
BCBS Louisiana Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $91.20 | Professional | None | $57.54 | $75.86 | $91.20 |
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 $60.26 Median $75.86 Typical High $112.20 | Facility | None | $60.26 | $75.86 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $93.33 | Professional | None | $43.65 | $67.61 | $93.33 |
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 $46.77 Median $69.18 Typical High $104.71 | Professional | None | $46.77 | $69.18 | $104.71 |
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 $28.84 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $28.84 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $11.48 | $15.14 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $57.54 Typical High $70.79 | Professional | 54 · Surgery only | $43.65 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $11.48 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $11.48 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.59 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.75 | $7.59 | $9.55 |
Where Louisiana sits
The same service costs 3.4 times more in Alaska than in New York. 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· 37th of 51
$75.86
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.