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 $457.09 Median $1,513.56 Typical High $3,548.13 | Facility | None | $457.09 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $602.56 Typical High $794.33 | Professional | None | $165.96 | $602.56 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,071.52 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,071.52 | $2,884.03 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $1,000.00 | Professional | None | $190.55 | $363.08 | $1,000.00 |
Christus Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $398.11 Typical High $851.14 | Professional | None | $151.36 | $398.11 | $851.14 |
United Setting Facility Modifier None Typical Low $213.80 Median $660.69 Typical High $1,258.93 | Facility | None | $213.80 | $660.69 | $1,258.93 |
United Setting Professional Modifier None Typical Low $147.91 Median $407.38 Typical High $1,047.13 | Professional | None | $147.91 | $407.38 | $1,047.13 |
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 $83.18 Median $269.15 Typical High $398.11 | Professional | 52 · Reduced service | $83.18 | $269.15 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $107.15 Typical High $158.49 | Professional | 53 · Discontinued | $33.11 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $398.11 Typical High $602.56 | Professional | 54 · Surgery only | $123.03 | $398.11 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $79.43 Typical High $120.23 | Professional | 55 · Aftercare only | $24.55 | $79.43 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $53.70 Typical High $79.43 | Professional | 56 · Pre-op care only | $16.60 | $53.70 | $79.43 |
Where Louisiana sits
The same service costs 3.8 times more in Wisconsin than in Nebraska. 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· 18th of 51
$589
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.