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 $288.40 Median $1,288.25 Typical High $3,467.37 | Facility | None | $288.40 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $138.04 | Professional | None | $83.18 | $107.15 | $138.04 |
BCBS Louisiana Setting Facility Modifier None Typical Low $54.95 Median $239.88 Typical High $741.31 | Facility | None | $54.95 | $239.88 | $741.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $144.54 | Professional | None | $83.18 | $104.71 | $144.54 |
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 $51.29 Median $316.23 Typical High $676.08 | Facility | None | $51.29 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $131.83 | Professional | None | $64.57 | $97.72 | $131.83 |
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 $63.10 Median $95.50 Typical High $138.04 | Professional | None | $63.10 | $95.50 | $138.04 |
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 $41.69 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $41.69 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $27.54 | Professional | 53 · Discontinued | $16.98 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $81.28 Typical High $104.71 | Professional | 54 · Surgery only | $63.10 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $20.89 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $13.80 |
Where Louisiana sits
The same service costs 3.5 times more in Wisconsin than in Florida. 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· 28th of 51
$107
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.