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 $147.91 Median $1,122.02 Typical High $3,467.37 | Facility | None | $147.91 | $1,122.02 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $169.82 Typical High $245.47 | Professional | None | $102.33 | $169.82 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $223.87 | Professional | None | $85.11 | $169.82 | $223.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $1,288.25 | Facility | None | $346.74 | $489.78 | $1,288.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $257.04 | Professional | None | $104.71 | $154.88 | $257.04 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $501.19 | Facility | None | $75.86 | $100.00 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $275.42 | Professional | None | $91.20 | $144.54 | $275.42 |
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 $75.86 Median $147.91 Typical High $281.84 | Professional | None | $75.86 | $147.91 | $281.84 |
6 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 $51.29 Median $72.44 Typical High $120.23 | Professional | 52 · Reduced service | $51.29 | $72.44 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.84 Typical High $47.86 | Professional | 53 · Discontinued | $20.42 | $28.84 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $109.65 Typical High $177.83 | Professional | 54 · Surgery only | $75.86 | $109.65 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $21.88 Typical High $35.48 | Professional | 55 · Aftercare only | $15.49 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $14.45 Typical High $23.99 | Professional | 56 · Pre-op care only | $10.23 | $14.45 | $23.99 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $251.19 Typical High $338.84 | Professional | 50 · Both sides | $125.89 | $251.19 | $338.84 |
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
$170
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.