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 $407.38 Median $1,513.56 Typical High $3,548.13 | Facility | None | $407.38 | $1,513.56 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $524.81 | Professional | None | $257.04 | $389.05 | $524.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $5,248.07 | Facility | None | $398.11 | $588.84 | $5,248.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $562.34 | Professional | None | $257.04 | $354.81 | $562.34 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $549.54 Typical High $933.25 | Facility | None | $338.84 | $549.54 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $467.74 | Professional | None | $218.78 | $302.00 | $467.74 |
United Setting Facility Modifier None Typical Low $446.68 Median $851.14 Typical High $2,951.21 | Facility | None | $446.68 | $851.14 | $2,951.21 |
United Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $489.78 | Professional | None | $190.55 | $302.00 | $489.78 |
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 $128.82 Median $169.82 Typical High $263.03 | Professional | 52 · Reduced service | $128.82 | $169.82 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $69.18 Typical High $104.71 | Professional | 53 · Discontinued | $51.29 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $257.04 Typical High $389.05 | Professional | 54 · Surgery only | $194.98 | $257.04 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $51.29 Typical High $77.62 | Professional | 55 · Aftercare only | $38.90 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $34.67 Typical High $52.48 | Professional | 56 · Pre-op care only | $25.70 | $34.67 | $52.48 |
Where Louisiana sits
The same service costs 3.0 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· 19th of 51
$427
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.