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 $56.23 Median $81.28 Typical High $144.54 | Professional | None | $56.23 | $81.28 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $123.03 | Professional | None | $43.65 | $43.65 | $123.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $79.43 Median $169.82 Typical High $263.03 | Facility | None | $79.43 | $169.82 | $263.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $181.97 | Professional | None | $54.95 | $79.43 | $181.97 |
Christus Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $181.97 | Professional | None | $41.69 | $79.43 | $181.97 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $36.31 Median $77.62 Typical High $134.90 | Professional | None | $36.31 | $77.62 | $134.90 |
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 $28.18 Median $38.02 Typical High $72.44 | Professional | 52 · Reduced service | $28.18 | $38.02 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.14 Typical High $28.84 | Professional | 53 · Discontinued | $11.22 | $15.14 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $56.23 Typical High $109.65 | Professional | 54 · Surgery only | $41.69 | $56.23 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $11.22 Typical High $21.88 | Professional | 55 · Aftercare only | $8.51 | $11.22 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.59 Typical High $14.45 | Professional | 56 · Pre-op care only | $5.62 | $7.59 | $14.45 |
Where Louisiana sits
The same service costs 3.4 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· 31st of 51
$89.13
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.