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 $97.72 Median $371.54 Typical High $562.34 | Professional | None | $97.72 | $371.54 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | None | $66.07 | $70.79 | $70.79 |
BCBS Louisiana Setting Facility Modifier None Typical Low $954.99 Median $3,235.94 Typical High $7,585.78 | Facility | None | $954.99 | $3,235.94 | $7,585.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $630.96 | Professional | None | $93.33 | $169.82 | $630.96 |
Christus Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $229.09 Typical High $645.65 | Professional | None | $69.18 | $229.09 | $645.65 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $4,365.16 Typical High $8,912.51 | Facility | None | $1,047.13 | $4,365.16 | $8,912.51 |
United Setting Professional Modifier None Typical Low $74.13 Median $338.84 Typical High $616.60 | Professional | None | $74.13 | $338.84 | $616.60 |
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 $48.98 Median $100.00 Typical High $281.84 | Professional | 52 · Reduced service | $48.98 | $100.00 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $39.81 Typical High $112.20 | Professional | 53 · Discontinued | $19.50 | $39.81 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $151.36 Typical High $416.87 | Professional | 54 · Surgery only | $72.44 | $151.36 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $30.20 Typical High $83.18 | Professional | 55 · Aftercare only | $14.79 | $30.20 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $19.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $9.77 | $19.95 | $56.23 |
Where Louisiana sits
The same service costs 5.6 times more in Wisconsin than in Maryland. 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· 12th of 51
$417
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.