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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $173.78 | Professional | None | $66.07 | $104.71 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $112.20 Median $257.04 Typical High $1,659.59 | Facility | None | $112.20 | $257.04 | $1,659.59 |
BCBS Louisiana Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $199.53 | Professional | None | $64.57 | $95.50 | $199.53 |
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 Facility Modifier None Typical Low $128.82 Median $316.23 Typical High $676.08 | Facility | None | $128.82 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $95.50 Typical High $208.93 | Professional | None | $48.98 | $95.50 | $208.93 |
United Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,187.76 | Facility | None | $275.42 | $630.96 | $2,187.76 |
United Setting Professional Modifier None Typical Low $43.65 Median $97.72 Typical High $177.83 | Professional | None | $43.65 | $97.72 | $177.83 |
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 $33.11 Median $50.12 Typical High $87.10 | Professional | 52 · Reduced service | $33.11 | $50.12 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.95 Typical High $34.67 | Professional | 53 · Discontinued | $13.18 | $19.95 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $74.13 Typical High $131.83 | Professional | 54 · Surgery only | $50.12 | $74.13 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $15.14 Typical High $26.30 | Professional | 55 · Aftercare only | $10.00 | $15.14 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.77 Typical High $17.38 | Professional | 56 · Pre-op care only | $6.61 | $9.77 | $17.38 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in Washington, DC. 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· 28th of 51
$112
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.