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 $81.28 Median $112.20 Typical High $169.82 | Professional | None | $81.28 | $112.20 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $64.57 Median $208.93 Typical High $1,288.25 | Facility | None | $64.57 | $208.93 | $1,288.25 |
BCBS Louisiana Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $165.96 | Professional | None | $67.61 | $112.20 | $165.96 |
Christus Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $316.23 Typical High $676.08 | Facility | None | $93.33 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $162.18 | Professional | None | $63.10 | $102.33 | $162.18 |
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 $53.70 Median $112.20 Typical High $199.53 | Professional | None | $53.70 | $112.20 | $199.53 |
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 $39.81 Median $51.29 Typical High $79.43 | Professional | 52 · Reduced service | $39.81 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.42 Typical High $32.36 | Professional | 53 · Discontinued | $16.22 | $20.42 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $75.86 Typical High $120.23 | Professional | 54 · Surgery only | $60.26 | $75.86 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.14 Typical High $23.99 | Professional | 55 · Aftercare only | $12.02 | $15.14 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.23 Typical High $16.22 | Professional | 56 · Pre-op care only | $7.94 | $10.23 | $16.22 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 25th of 51
$126
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.