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 $562.34 Median $1,905.46 Typical High $3,715.35 | Facility | None | $562.34 | $1,905.46 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,737.80 Typical High $2,691.53 | Professional | None | $416.87 | $1,737.80 | $2,691.53 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $263.03 | Professional | None | $181.97 | $263.03 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,495.41 Median $10,000.00 Typical High $17,782.79 | Facility | None | $5,495.41 | $10,000.00 | $17,782.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $3,388.44 | Professional | None | $501.19 | $794.33 | $3,388.44 |
Christus Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $1,000.00 Typical High $2,951.21 | Professional | None | $407.38 | $1,000.00 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $7,413.10 Typical High $13,182.57 | Facility | None | $1,348.96 | $7,413.10 | $13,182.57 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,621.81 Typical High $3,090.30 | Professional | None | $371.54 | $1,621.81 | $3,090.30 |
6 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 $208.93 Median $851.14 Typical High $1,318.26 | Professional | 52 · Reduced service | $208.93 | $851.14 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $338.84 Typical High $524.81 | Professional | 53 · Discontinued | $83.18 | $338.84 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $1,258.93 Typical High $1,949.84 | Professional | 54 · Surgery only | $309.03 | $1,258.93 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $257.04 Typical High $389.05 | Professional | 55 · Aftercare only | $61.66 | $257.04 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $169.82 Typical High $263.03 | Professional | 56 · Pre-op care only | $41.69 | $169.82 | $263.03 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $562.34 Typical High $575.44 | Professional | 50 · Both sides | $275.42 | $562.34 | $575.44 |
Where Louisiana sits
The same service costs 6.2 times more in Washington 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· 16th of 51
$1,995
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.