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 $575.44 Median $1,862.09 Typical High $3,715.35 | Facility | None | $575.44 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,148.15 Typical High $1,479.11 | Professional | None | $323.59 | $1,148.15 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $933.25 | Professional | None | $794.33 | $933.25 | $933.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,023.29 Median $2,884.03 Typical High $8,128.31 | Facility | None | $1,023.29 | $2,884.03 | $8,128.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,659.59 | Professional | None | $380.19 | $691.83 | $1,659.59 |
Christus Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,995.26 Typical High $3,801.89 | Facility | None | $794.33 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $660.69 Typical High $1,513.56 | Professional | None | $275.42 | $660.69 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,238.72 Typical High $8,128.31 | Facility | None | $1,047.13 | $2,238.72 | $8,128.31 |
United Setting Professional Modifier None Typical Low $309.03 Median $1,071.52 Typical High $2,691.53 | Professional | None | $309.03 | $1,071.52 | $2,691.53 |
3 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 54 · Surgery only Typical Low $239.88 Median $676.08 Typical High $1,071.52 | Professional | 54 · Surgery only | $239.88 | $676.08 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $134.90 Typical High $213.80 | Professional | 55 · Aftercare only | $48.98 | $134.90 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $89.13 Typical High $144.54 | Professional | 56 · Pre-op care only | $32.36 | $89.13 | $144.54 |
Where Louisiana sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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
$1,380
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.