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 $173.78 Median $1,513.56 Typical High $3,548.13 | Facility | None | $173.78 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $186.21 | Professional | None | $54.95 | $123.03 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $11,220.18 | Facility | None | $1,071.52 | $4,786.30 | $11,220.18 |
BCBS Louisiana Setting Professional Modifier None Typical Low $66.07 Median $125.89 Typical High $199.53 | Professional | None | $66.07 | $125.89 | $199.53 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $177.83 | Professional | None | $51.29 | $100.00 | $177.83 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $50.12 Median $107.15 Typical High $257.04 | Professional | None | $50.12 | $107.15 | $257.04 |
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 $27.54 Median $54.95 Typical High $93.33 | Professional | 52 · Reduced service | $27.54 | $54.95 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $22.39 Typical High $37.15 | Professional | 53 · Discontinued | $11.22 | $22.39 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $83.18 Typical High $141.25 | Professional | 54 · Surgery only | $41.69 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $16.60 Typical High $28.18 | Professional | 55 · Aftercare only | $8.32 | $16.60 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $10.96 Typical High $18.62 | Professional | 56 · Pre-op care only | $5.62 | $10.96 | $18.62 |
Where Louisiana sits
The same service costs 2.8 times more in Wisconsin than in Florida. 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· 21st of 51
$135
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.