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 $346.74 Median $1,513.56 Typical High $3,467.37 | Facility | None | $346.74 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $426.58 | Professional | None | $194.98 | $288.40 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $363.08 | Professional | None | $229.09 | $363.08 | $363.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $162.18 Median $1,479.11 Typical High $4,265.80 | Facility | None | $162.18 | $1,479.11 | $4,265.80 |
BCBS Louisiana Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $380.19 | Professional | None | $208.93 | $269.15 | $380.19 |
Christus Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $645.65 Typical High $1,479.11 | Facility | None | $331.13 | $645.65 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $446.68 | Professional | None | $165.96 | $251.19 | $446.68 |
United Setting Facility Modifier None Typical Low $446.68 Median $954.99 Typical High $3,467.37 | Facility | None | $446.68 | $954.99 | $3,467.37 |
United Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $524.81 | Professional | None | $169.82 | $257.04 | $524.81 |
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 $97.72 Median $141.25 Typical High $213.80 | Professional | 52 · Reduced service | $97.72 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $85.11 | Professional | 53 · Discontinued | $38.90 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $213.80 Typical High $323.59 | Professional | 54 · Surgery only | $147.91 | $213.80 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $42.66 Typical High $64.57 | Professional | 55 · Aftercare only | $29.51 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $28.18 Typical High $42.66 | Professional | 56 · Pre-op care only | $19.50 | $28.18 | $42.66 |
Where Louisiana sits
The same service costs 3.1 times more in Alaska than in New York. 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· 30th of 51
$324
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.