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 $147.91 Median $194.98 Typical High $251.19 | Professional | None | $147.91 | $194.98 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $120.23 Median $416.87 Typical High $1,318.26 | Facility | None | $120.23 | $416.87 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $275.42 | Professional | None | $158.49 | $194.98 | $275.42 |
Christus Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $316.23 Typical High $676.08 | Facility | None | $104.71 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $295.12 | Professional | None | $123.03 | $186.21 | $295.12 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,187.76 | Facility | None | $275.42 | $645.65 | $2,187.76 |
United Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $281.84 | Professional | None | $125.89 | $177.83 | $281.84 |
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 $72.44 Median $93.33 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $42.66 | Professional | 53 · Discontinued | $29.51 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $141.25 Typical High $162.18 | Professional | 54 · Surgery only | $109.65 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $21.88 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $18.62 Typical High $21.38 | Professional | 56 · Pre-op care only | $14.45 | $18.62 | $21.38 |
Where Louisiana sits
The same service costs 3.7 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· 24th of 51
$209
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.