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 $51.29 Median $1,148.15 Typical High $3,467.37 | Facility | None | $51.29 | $1,148.15 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $72.44 | Professional | None | $35.48 | $52.48 | $72.44 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $346.74 | Facility | None | $97.72 | $177.83 | $346.74 |
BCBS Louisiana Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $72.44 | Professional | None | $33.88 | $50.12 | $72.44 |
Christus Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $501.19 | Facility | None | $75.86 | $100.00 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $64.57 | Professional | None | $28.18 | $41.69 | $64.57 |
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 $27.54 Median $46.77 Typical High $89.13 | Professional | None | $27.54 | $46.77 | $89.13 |
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 $17.78 Median $23.44 Typical High $35.48 | Professional | 52 · Reduced service | $17.78 | $23.44 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $9.33 Typical High $14.45 | Professional | 53 · Discontinued | $7.08 | $9.33 | $14.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $35.48 Typical High $53.70 | Professional | 54 · Surgery only | $26.30 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $7.08 Typical High $10.72 | Professional | 55 · Aftercare only | $5.25 | $7.08 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.68 Typical High $7.08 | Professional | 56 · Pre-op care only | $3.55 | $4.68 | $7.08 |
Where Louisiana sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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
$61.66
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.