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 $173.78 Median $2,511.89 Typical High $3,890.45 | Facility | None | $173.78 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $204.17 | Professional | None | $144.54 | $165.96 | $204.17 |
BCBS Louisiana Setting Facility Modifier None Typical Low $77.62 Median $239.88 Typical High $1,318.26 | Facility | None | $77.62 | $239.88 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $177.83 | Professional | None | $128.82 | $147.91 | $177.83 |
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 $66.07 Median $83.18 Typical High $117.49 | Facility | None | $66.07 | $83.18 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $223.87 | Professional | None | $93.33 | $131.83 | $223.87 |
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 $134.90 Median $177.83 Typical High $281.84 | Professional | None | $134.90 | $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 $70.79 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $40.74 | Professional | 53 · Discontinued | $28.84 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $125.89 Typical High $151.36 | Professional | 54 · Surgery only | $107.15 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $25.12 Typical High $30.20 | Professional | 55 · Aftercare only | $21.38 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $16.60 Typical High $20.42 | Professional | 56 · Pre-op care only | $14.45 | $16.60 | $20.42 |
Where Louisiana sits
The same service costs 2.9 times more in Alaska 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· 42nd of 51
$166
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.