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 $95.50 Median $1,258.93 Typical High $3,467.37 | Facility | None | $95.50 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $81.28 | Professional | None | $44.67 | $61.66 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $87.10 | Professional | None | $30.90 | $51.29 | $87.10 |
BCBS Louisiana Setting Facility Modifier None Typical Low $34.67 Median $107.15 Typical High $575.44 | Facility | None | $34.67 | $107.15 | $575.44 |
BCBS Louisiana Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $85.11 | Professional | None | $45.71 | $58.88 | $85.11 |
Christus Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $316.23 Typical High $676.08 | Facility | None | $35.48 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $91.20 | Professional | None | $39.81 | $61.66 | $91.20 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $83.18 | Professional | None | $33.88 | $50.12 | $83.18 |
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 $22.39 Median $30.90 Typical High $38.02 | Professional | 52 · Reduced service | $22.39 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.30 Typical High $15.49 | Professional | 53 · Discontinued | $9.12 | $12.30 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $45.71 Typical High $57.54 | Professional | 54 · Surgery only | $33.88 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $9.12 Typical High $11.48 | Professional | 55 · Aftercare only | $6.76 | $9.12 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.17 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.47 | $6.17 | $7.59 |
Where Louisiana sits
The same service costs 4.1 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· 23rd of 51
$61.66
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.