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 $338.84 Median $1,288.25 Typical High $3,467.37 | Facility | None | $338.84 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $151.36 | Professional | None | $95.50 | $134.90 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $128.82 Median $371.54 Typical High $870.96 | Facility | None | $128.82 | $371.54 | $870.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $123.03 | Professional | None | $117.49 | $123.03 | $123.03 |
Christus Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $114.82 Typical High $173.78 | Professional | None | $89.13 | $114.82 | $173.78 |
United Setting Facility Modifier None Typical Low $218.78 Median $676.08 Typical High $1,230.27 | Facility | None | $218.78 | $676.08 | $1,230.27 |
United Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $204.17 | Professional | None | $95.50 | $120.23 | $204.17 |
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 $60.26 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $23.99 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $102.33 Typical High $112.20 | Professional | 54 · Surgery only | $89.13 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $20.42 Typical High $22.39 | Professional | 55 · Aftercare only | $17.78 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.49 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.02 | $13.49 | $15.14 |
Where Louisiana sits
The same service costs 3.5 times more in Wisconsin 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· 32nd 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.