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 $117.49 Median $2,511.89 Typical High $3,890.45 | Facility | None | $117.49 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $144.54 | Professional | None | $87.10 | $117.49 | $144.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $524.81 | Facility | None | $79.43 | $102.33 | $524.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $158.49 | Professional | None | $87.10 | $112.20 | $158.49 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $138.04 | Facility | None | $72.44 | $97.72 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $173.78 | Professional | None | $77.62 | $117.49 | $173.78 |
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 $63.10 Median $91.20 Typical High $144.54 | Professional | None | $63.10 | $91.20 | $144.54 |
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 $42.66 Median $58.88 Typical High $72.44 | Professional | 52 · Reduced service | $42.66 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.44 Typical High $29.51 | Professional | 53 · Discontinued | $17.38 | $23.44 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $89.13 Typical High $109.65 | Professional | 54 · Surgery only | $64.57 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $17.78 Typical High $21.88 | Professional | 55 · Aftercare only | $12.88 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $11.75 Typical High $14.45 | Professional | 56 · Pre-op care only | $8.71 | $11.75 | $14.45 |
Where Louisiana sits
The same service costs 3.8 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· 22nd of 51
$112
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.