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 $85.11 Median $1,122.02 Typical High $3,467.37 | Facility | None | $85.11 | $1,122.02 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $107.15 | Professional | None | $39.81 | $67.61 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $134.90 | Professional | None | $39.81 | $77.62 | $134.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $426.58 | Facility | None | $125.89 | $281.84 | $426.58 |
BCBS Louisiana Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $95.50 | Professional | None | $41.69 | $56.23 | $95.50 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $97.72 | Professional | None | $30.90 | $60.26 | $97.72 |
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 $33.11 Median $66.07 Typical High $100.00 | Professional | None | $33.11 | $66.07 | $100.00 |
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 $19.95 Median $26.92 Typical High $50.12 | Professional | 52 · Reduced service | $19.95 | $26.92 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.72 Typical High $19.95 | Professional | 53 · Discontinued | $8.13 | $10.72 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.20 Median $40.74 Typical High $74.13 | Professional | 54 · Surgery only | $30.20 | $40.74 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $8.13 Typical High $14.79 | Professional | 55 · Aftercare only | $6.03 | $8.13 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.37 Typical High $10.00 | Professional | 56 · Pre-op care only | $4.07 | $5.37 | $10.00 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 19th of 51
$85.11
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.