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 $97.72 Median $1,258.93 Typical High $3,467.37 | Facility | None | $97.72 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $83.18 Typical High $117.49 | Professional | None | $41.69 | $83.18 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $56.23 | Professional | None | $30.20 | $30.20 | $56.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $69.18 Median $199.53 Typical High $501.19 | Facility | None | $69.18 | $199.53 | $501.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $123.03 | Professional | None | $41.69 | $85.11 | $123.03 |
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 $61.66 Median $75.86 Typical High $112.20 | Facility | None | $61.66 | $75.86 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $56.23 Typical High $109.65 | Professional | None | $33.11 | $56.23 | $109.65 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None Typical Low $33.11 Median $72.44 Typical High $128.82 | Professional | None | $33.11 | $72.44 | $128.82 |
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 $20.89 Median $32.36 Typical High $58.88 | Professional | 52 · Reduced service | $20.89 | $32.36 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $12.88 Typical High $23.44 | Professional | 53 · Discontinued | $8.32 | $12.88 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $48.98 Typical High $87.10 | Professional | 54 · Surgery only | $31.62 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $9.77 Typical High $17.38 | Professional | 55 · Aftercare only | $6.31 | $9.77 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $6.46 Typical High $11.75 | Professional | 56 · Pre-op care only | $4.17 | $6.46 | $11.75 |
Where Louisiana sits
The same service costs 3.1 times more in Wisconsin than in Nebraska. 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· 17th of 51
$93.33
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.