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 $275.42 Median $1,122.02 Typical High $1,778.28 | Professional | None | $275.42 | $1,122.02 | $1,778.28 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $1,096.48 | Professional | None | $114.82 | $208.93 | $1,096.48 |
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 $323.59 Median $575.44 Typical High $2,089.30 | Professional | None | $323.59 | $575.44 | $2,089.30 |
Christus Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $660.69 Typical High $1,778.28 | Professional | None | $251.19 | $660.69 | $1,778.28 |
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 $245.47 Median $954.99 Typical High $2,187.76 | Professional | None | $245.47 | $954.99 | $2,187.76 |
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 $138.04 Median $549.54 Typical High $891.25 | Professional | 52 · Reduced service | $138.04 | $549.54 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $218.78 Typical High $354.81 | Professional | 53 · Discontinued | $54.95 | $218.78 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $812.83 Typical High $1,348.96 | Professional | 54 · Surgery only | $204.17 | $812.83 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $165.96 Typical High $269.15 | Professional | 55 · Aftercare only | $41.69 | $165.96 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $109.65 Typical High $177.83 | Professional | 56 · Pre-op care only | $27.54 | $109.65 | $177.83 |
Where Louisiana sits
The same service costs 5.8 times more in Washington than in Hawaii. 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· 26th of 51
$1,023
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.