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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $1,548.82 Typical High $1,949.84 | Professional | None | $177.83 | $1,548.82 | $1,949.84 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $12,022.64 Typical High $21,877.62 | Facility | None | $0.02 | $12,022.64 | $21,877.62 |
BCBS Louisiana Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $2,818.38 | Professional | None | $204.17 | $295.12 | $2,818.38 |
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 Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,995.26 | Facility | None | $524.81 | $851.14 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $426.58 Typical High $2,398.83 | Professional | None | $162.18 | $426.58 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $12,302.69 | Facility | None | $1,318.26 | $3,467.37 | $12,302.69 |
United Setting Professional Modifier None Typical Low $165.96 Median $1,445.44 Typical High $3,467.37 | Professional | None | $165.96 | $1,445.44 | $3,467.37 |
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 $89.13 Median $346.74 Typical High $977.24 | Professional | 52 · Reduced service | $89.13 | $346.74 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $138.04 Typical High $389.05 | Professional | 53 · Discontinued | $35.48 | $138.04 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $524.81 Typical High $1,445.44 | Professional | 54 · Surgery only | $134.90 | $524.81 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $104.71 Typical High $288.40 | Professional | 55 · Aftercare only | $26.92 | $104.71 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $69.18 Typical High $194.98 | Professional | 56 · Pre-op care only | $17.78 | $69.18 | $194.98 |
Where Louisiana sits
The same service costs 11.2 times more in Oklahoma 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· 36th of 51
$1,622
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.