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 $117.49 Median $1,174.90 Typical High $3,467.37 | Facility | None | $117.49 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $107.15 Typical High $151.36 | Professional | None | $67.61 | $107.15 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $81.28 Median $239.88 Typical High $660.69 | Facility | None | $81.28 | $239.88 | $660.69 |
BCBS Louisiana Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $154.88 | Professional | None | $69.18 | $100.00 | $154.88 |
Christus Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $316.23 Typical High $676.08 | Facility | None | $74.13 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $141.25 | Professional | None | $58.88 | $83.18 | $141.25 |
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 $52.48 Median $93.33 Typical High $158.49 | Professional | None | $52.48 | $93.33 | $158.49 |
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 $33.88 Median $45.71 Typical High $74.13 | Professional | 52 · Reduced service | $33.88 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.20 Typical High $29.51 | Professional | 53 · Discontinued | $13.80 | $18.20 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $67.61 Typical High $112.20 | Professional | 54 · Surgery only | $51.29 | $67.61 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.49 Typical High $22.39 | Professional | 55 · Aftercare only | $10.23 | $13.49 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.12 Typical High $14.79 | Professional | 56 · Pre-op care only | $6.92 | $9.12 | $14.79 |
Where Louisiana sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 23rd of 51
$117
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.