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 $218.78 Median $1,258.93 Typical High $3,467.37 | Facility | None | $218.78 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $141.25 Typical High $245.47 | Professional | None | $53.70 | $141.25 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $489.78 Typical High $1,071.52 | Facility | None | $97.72 | $489.78 | $1,071.52 |
BCBS Louisiana Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $275.42 | Professional | None | $48.98 | $72.44 | $275.42 |
Christus Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $120.23 Typical High $275.42 | Professional | None | $36.31 | $120.23 | $275.42 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None Typical Low $38.90 Median $112.20 Typical High $263.03 | Professional | None | $38.90 | $112.20 | $263.03 |
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 $26.92 Median $52.48 Typical High $123.03 | Professional | 52 · Reduced service | $26.92 | $52.48 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $21.38 Typical High $48.98 | Professional | 53 · Discontinued | $10.72 | $21.38 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $79.43 Typical High $186.21 | Professional | 54 · Surgery only | $40.74 | $79.43 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $15.85 Typical High $37.15 | Professional | 55 · Aftercare only | $8.13 | $15.85 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $10.47 Typical High $24.55 | Professional | 56 · Pre-op care only | $5.37 | $10.47 | $24.55 |
Where Louisiana sits
The same service costs 4.5 times more in Wisconsin than in Michigan. 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
$138
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.