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 $380.19 Median $389.05 Typical High $537.03 | Professional | None | $380.19 | $389.05 | $537.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $10,000.00 | Facility | None | $2,754.23 | $4,365.16 | $10,000.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $489.78 | Professional | None | $389.05 | $446.68 | $489.78 |
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 $1,202.26 Typical High $3,630.78 | Facility | None | $588.84 | $1,202.26 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $549.54 | Professional | None | $218.78 | $371.54 | $549.54 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $8,317.64 | Facility | None | $1,071.52 | $2,238.72 | $8,317.64 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $602.56 | Professional | None | $309.03 | $446.68 | $602.56 |
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 $190.55 Median $194.98 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $288.40 Typical High $346.74 | Professional | 54 · Surgery only | $281.84 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $57.54 Typical High $69.18 | Professional | 55 · Aftercare only | $56.23 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $46.77 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $46.77 |
Where Louisiana sits
The same service costs 10.0 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· 10th of 51
$724
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.