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 $162.18 Median $1,148.15 Typical High $3,467.37 | Facility | None | $162.18 | $1,148.15 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $239.88 | Professional | None | $69.18 | $112.20 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $181.97 Typical High $181.97 | Professional | None | $42.66 | $181.97 | $181.97 |
BCBS Louisiana Setting Facility Modifier None Typical Low $77.62 Median $218.78 Typical High $354.81 | Facility | None | $77.62 | $218.78 | $354.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $234.42 | Professional | None | $70.79 | $107.15 | $234.42 |
Christus Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $269.15 | Professional | None | $56.23 | $109.65 | $269.15 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $208.93 | Professional | None | $57.54 | $109.65 | $208.93 |
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 $33.88 Median $52.48 Typical High $120.23 | Professional | 52 · Reduced service | $33.88 | $52.48 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $20.89 Typical High $47.86 | Professional | 53 · Discontinued | $13.80 | $20.89 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $79.43 Typical High $181.97 | Professional | 54 · Surgery only | $51.29 | $79.43 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $15.85 Typical High $36.31 | Professional | 55 · Aftercare only | $10.23 | $15.85 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.47 Typical High $23.99 | Professional | 56 · Pre-op care only | $6.92 | $10.47 | $23.99 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 27th of 51
$132
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.