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 $5.89 Median $1,258.93 Typical High $3,467.37 | Facility | None | $5.89 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $5.89 Typical High $8.13 | Professional | None | $2.24 | $5.89 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $5.13 Typical High $6.46 | Professional | None | $4.37 | $5.13 | $6.46 |
BCBS Louisiana Setting Facility Modifier None Typical Low $10.96 Median $23.99 Typical High $173.78 | Facility | None | $10.96 | $23.99 | $173.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2.19 Median $5.01 Typical High $7.24 | Professional | None | $2.19 | $5.01 | $7.24 |
Christus Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
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 $1.62 Median $4.47 Typical High $7.41 | Professional | None | $1.62 | $4.47 | $7.41 |
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 $1.95 Median $5.25 Typical High $9.55 | Professional | None | $1.95 | $5.25 | $9.55 |
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 $1.12 Median $1.78 Typical High $3.47 | Professional | 52 · Reduced service | $1.12 | $1.78 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $1.17 Typical High $1.38 | Professional | 53 · Discontinued | $0.45 | $1.17 | $1.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.70 Median $2.63 Typical High $5.13 | Professional | 54 · Surgery only | $1.70 | $2.63 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.52 Typical High $1.02 | Professional | 55 · Aftercare only | $0.34 | $0.52 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.59 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.22 | $0.59 | $0.69 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Nebraska. 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
$6.76
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.