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 $104.71 Median $134.90 Typical High $190.55 | Professional | None | $104.71 | $134.90 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $81.28 Median $616.60 Typical High $1,348.96 | Facility | None | $81.28 | $616.60 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $162.18 | Professional | None | $102.33 | $138.04 | $162.18 |
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 $87.10 Median $316.23 Typical High $676.08 | Facility | None | $87.10 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $165.96 | Professional | None | $77.62 | $117.49 | $165.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,137.96 | Facility | None | $275.42 | $630.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $199.53 | Professional | None | $85.11 | $125.89 | $199.53 |
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 $52.48 Median $67.61 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $21.38 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $102.33 Typical High $131.83 | Professional | 54 · Surgery only | $79.43 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.42 Typical High $26.30 | Professional | 55 · Aftercare only | $15.85 | $20.42 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $13.49 Typical High $17.38 | Professional | 56 · Pre-op care only | $10.72 | $13.49 | $17.38 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 31st of 51
$145
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.