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 $177.83 Median $1,122.02 Typical High $3,467.37 | Facility | None | $177.83 | $1,122.02 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $134.90 Typical High $245.47 | Professional | None | $63.10 | $134.90 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $151.36 | Professional | None | $42.66 | $45.71 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $851.14 | Facility | None | $194.98 | $389.05 | $851.14 |
BCBS Louisiana Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $251.19 | Professional | None | $63.10 | $95.50 | $251.19 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $257.04 | Professional | None | $54.95 | $123.03 | $257.04 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $51.29 Median $123.03 Typical High $257.04 | Professional | None | $51.29 | $123.03 | $257.04 |
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 $31.62 Median $54.95 Typical High $109.65 | Professional | 52 · Reduced service | $31.62 | $54.95 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $21.88 Typical High $44.67 | Professional | 53 · Discontinued | $12.59 | $21.88 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $81.28 Typical High $165.96 | Professional | 54 · Surgery only | $47.86 | $81.28 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $16.60 Typical High $33.11 | Professional | 55 · Aftercare only | $9.55 | $16.60 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $10.96 Typical High $21.88 | Professional | 56 · Pre-op care only | $6.31 | $10.96 | $21.88 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 21st of 51
$151
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.