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 $478.63 Median $1,513.56 Typical High $3,467.37 | Facility | None | $478.63 | $1,513.56 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $1,479.11 Typical High $2,041.74 | Professional | None | $371.54 | $1,479.11 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $446.68 Median $707.95 Typical High $2,691.53 | Professional | None | $446.68 | $707.95 | $2,691.53 |
Christus Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $891.25 Typical High $2,344.23 | Professional | None | $363.08 | $891.25 | $2,344.23 |
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 $331.13 Median $1,348.96 Typical High $2,754.23 | Professional | None | $331.13 | $1,348.96 | $2,754.23 |
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 $186.21 Median $741.31 Typical High $1,023.29 | Professional | 52 · Reduced service | $186.21 | $741.31 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $295.12 Typical High $416.87 | Professional | 53 · Discontinued | $74.13 | $295.12 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $1,096.48 Typical High $1,548.82 | Professional | 54 · Surgery only | $275.42 | $1,096.48 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $223.87 Typical High $309.03 | Professional | 55 · Aftercare only | $54.95 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $147.91 Typical High $204.17 | Professional | 56 · Pre-op care only | $37.15 | $147.91 | $204.17 |
Where Louisiana sits
The same service costs 5.6 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· 33rd of 51
$1,445
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.