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 $457.09 Median $1,862.09 Typical High $3,715.35 | Facility | None | $457.09 | $1,862.09 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $467.74 | Professional | None | $354.81 | $426.58 | $467.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,089.30 Median $3,090.30 Typical High $7,413.10 | Facility | None | $2,089.30 | $3,090.30 | $7,413.10 |
BCBS Louisiana Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $436.52 | Professional | None | $338.84 | $398.11 | $436.52 |
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 $588.84 Median $1,096.48 Typical High $2,754.23 | Facility | None | $588.84 | $1,096.48 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $426.58 | Professional | None | $194.98 | $338.84 | $426.58 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,548.82 Typical High $6,025.60 | Facility | None | $851.14 | $1,548.82 | $6,025.60 |
United Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $512.86 | Professional | None | $239.88 | $323.59 | $512.86 |
3 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 54 · Surgery only Typical Low $269.15 Median $316.23 Typical High $338.84 | Professional | 54 · Surgery only | $269.15 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $63.10 Typical High $67.61 | Professional | 55 · Aftercare only | $53.70 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $42.66 Typical High $45.71 | Professional | 56 · Pre-op care only | $35.48 | $42.66 | $45.71 |
Where Louisiana sits
The same service costs 7.2 times more in Oklahoma than in New York. 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· 8th of 51
$692
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.