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 $81.28 Median $2,511.89 Typical High $3,890.45 | Facility | None | $81.28 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $97.72 | Professional | None | $56.23 | $77.62 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $51.29 Median $169.82 Typical High $407.38 | Facility | None | $51.29 | $169.82 | $407.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $114.82 | Professional | None | $58.88 | $79.43 | $114.82 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $66.07 Typical High $100.00 | Facility | None | $39.81 | $66.07 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $123.03 | Professional | None | $47.86 | $77.62 | $123.03 |
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 $47.86 Median $72.44 Typical High $112.20 | Professional | None | $47.86 | $72.44 | $112.20 |
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 $28.18 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $28.18 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $11.22 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $57.54 Typical High $64.57 | Professional | 54 · Surgery only | $41.69 | $57.54 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $8.32 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.59 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.62 | $7.59 | $8.71 |
Where Louisiana sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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· 35th of 51
$77.62
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.