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 $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $151.36 | Professional | None | $123.03 | $134.90 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $588.84 | Facility | None | $181.97 | $251.19 | $588.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | None | $102.33 | $120.23 | $125.89 |
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 $75.86 Median $151.36 Typical High $389.05 | Facility | None | $75.86 | $151.36 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $102.33 Typical High $162.18 | Professional | None | $74.13 | $102.33 | $162.18 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $218.78 | Professional | None | $102.33 | $141.25 | $218.78 |
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 $61.66 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | 54 · Surgery only | $93.33 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.95 Typical High $22.91 | Professional | 55 · Aftercare only | $18.62 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.49 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.30 | $13.49 | $15.14 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 22nd 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.