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 $446.68 Median $1,513.56 Typical High $3,548.13 | Facility | None | $446.68 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $933.25 Typical High $1,412.54 | Professional | None | $234.42 | $933.25 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,311.31 Median $6,025.60 Typical High $10,715.19 | Facility | None | $3,311.31 | $6,025.60 | $10,715.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $1,659.59 | Professional | None | $275.42 | $426.58 | $1,659.59 |
Christus Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $562.34 Typical High $1,412.54 | Professional | None | $213.80 | $562.34 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,047.13 | $3,981.07 | $8,511.38 |
United Setting Professional Modifier None Typical Low $208.93 Median $912.01 Typical High $2,041.74 | Professional | None | $208.93 | $912.01 | $2,041.74 |
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 $117.49 Median $446.68 Typical High $707.95 | Professional | 52 · Reduced service | $117.49 | $446.68 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $177.83 Typical High $281.84 | Professional | 53 · Discontinued | $46.77 | $177.83 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $660.69 Typical High $1,071.52 | Professional | 54 · Surgery only | $177.83 | $660.69 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $131.83 Typical High $213.80 | Professional | 55 · Aftercare only | $35.48 | $131.83 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $89.13 Typical High $141.25 | Professional | 56 · Pre-op care only | $23.44 | $89.13 | $141.25 |
Where Louisiana sits
The same service costs 5.9 times more in Wisconsin than in Maryland. 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· 19th of 51
$1,072
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.