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 $245.47 Median $1,258.93 Typical High $3,467.37 | Facility | None | $245.47 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $263.03 | Professional | None | $158.49 | $190.55 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None | $239.88 | $239.88 | $288.40 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $660.69 Typical High $1,659.59 | Facility | None | $109.65 | $660.69 | $1,659.59 |
BCBS Louisiana Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $281.84 | Professional | None | $144.54 | $186.21 | $281.84 |
Christus Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $208.93 Typical High $1,000.00 | Facility | None | $100.00 | $208.93 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $269.15 | Professional | None | $128.82 | $181.97 | $269.15 |
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 $109.65 Median $158.49 Typical High $295.12 | Professional | None | $109.65 | $158.49 | $295.12 |
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 $85.11 Median $95.50 Typical High $125.89 | Professional | 52 · Reduced service | $85.11 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $50.12 | Professional | 53 · Discontinued | $33.88 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $144.54 Typical High $190.55 | Professional | 54 · Surgery only | $128.82 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.84 Typical High $38.02 | Professional | 55 · Aftercare only | $25.70 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $19.05 Typical High $25.12 | Professional | 56 · Pre-op care only | $16.98 | $19.05 | $25.12 |
Where Louisiana sits
The same service costs 3.3 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· 21st of 51
$200
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.