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 $354.81 Median $1,288.25 Typical High $3,467.37 | Facility | None | $354.81 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $446.68 | Professional | None | $104.71 | $213.80 | $446.68 |
BCBS Louisiana Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $977.24 | Facility | None | $194.98 | $489.78 | $977.24 |
BCBS Louisiana Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $467.74 | Professional | None | $104.71 | $158.49 | $467.74 |
Christus Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $204.17 Typical High $489.78 | Professional | None | $91.20 | $204.17 | $489.78 |
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 $83.18 Median $223.87 Typical High $436.52 | Professional | None | $83.18 | $223.87 | $436.52 |
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 $52.48 Median $89.13 Typical High $213.80 | Professional | 52 · Reduced service | $52.48 | $89.13 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $35.48 Typical High $85.11 | Professional | 53 · Discontinued | $21.38 | $35.48 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $134.90 Typical High $316.23 | Professional | 54 · Surgery only | $79.43 | $134.90 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $26.92 Typical High $63.10 | Professional | 55 · Aftercare only | $15.85 | $26.92 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $17.78 Typical High $42.66 | Professional | 56 · Pre-op care only | $10.47 | $17.78 | $42.66 |
Where Louisiana sits
The same service costs 4.2 times more in Washington 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· 14th of 51
$288
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.