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 $398.11 Median $1,513.56 Typical High $3,548.13 | Facility | None | $398.11 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $295.12 Typical High $436.52 | Professional | None | $158.49 | $295.12 | $436.52 |
BCBS Louisiana Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $812.83 | Facility | None | $223.87 | $288.40 | $812.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $416.87 | Professional | None | $165.96 | $251.19 | $416.87 |
Christus Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $933.25 | Facility | None | $234.42 | $501.19 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $467.74 | Professional | None | $134.90 | $239.88 | $467.74 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $134.90 Median $245.47 Typical High $436.52 | Professional | None | $134.90 | $245.47 | $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 $79.43 Median $120.23 Typical High $218.78 | Professional | 52 · Reduced service | $79.43 | $120.23 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $47.86 Typical High $87.10 | Professional | 53 · Discontinued | $31.62 | $47.86 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $181.97 Typical High $331.13 | Professional | 54 · Surgery only | $117.49 | $181.97 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $36.31 Typical High $66.07 | Professional | 55 · Aftercare only | $23.44 | $36.31 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $23.99 Typical High $43.65 | Professional | 56 · Pre-op care only | $15.85 | $23.99 | $43.65 |
Where Louisiana sits
The same service costs 3.2 times more in Wisconsin 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· 42nd of 51
$257
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.