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 $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $177.83 | Professional | None | $158.49 | $162.18 | $177.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $380.19 Median $524.81 Typical High $1,288.25 | Facility | None | $380.19 | $524.81 | $1,288.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $177.83 | Professional | None | $128.82 | $158.49 | $177.83 |
Christus Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $707.95 | Facility | None | $331.13 | $524.81 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $186.21 | Professional | None | $87.10 | $131.83 | $186.21 |
United Setting Facility Modifier None Typical Low $275.42 Median $645.65 Typical High $2,137.96 | Facility | None | $275.42 | $645.65 | $2,137.96 |
United Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $213.80 | Professional | None | $89.13 | $134.90 | $213.80 |
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 $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $28.18 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $120.23 Typical High $131.83 | Professional | 54 · Surgery only | $107.15 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $24.55 Typical High $26.30 | Professional | 55 · Aftercare only | $21.38 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.22 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.13 | $16.22 | $17.38 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska 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· 20th of 51
$204
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.