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 $162.18 Median $1,174.90 Typical High $3,467.37 | Facility | None | $162.18 | $1,174.90 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | None | $117.49 | $138.04 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $77.62 Median $338.84 Typical High $1,230.27 | Facility | None | $77.62 | $338.84 | $1,230.27 |
BCBS Louisiana Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | None | $112.20 | $131.83 | $162.18 |
Christus Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $316.23 Typical High $676.08 | Facility | None | $70.79 | $316.23 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $147.91 | Professional | None | $95.50 | $114.82 | $147.91 |
United Setting Facility Modifier None Typical Low $91.20 Median $398.11 Typical High $1,202.26 | Facility | None | $91.20 | $398.11 | $1,202.26 |
United Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $295.12 | Professional | None | $83.18 | $114.82 | $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 $64.57 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $28.18 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $107.15 Typical High $125.89 | Professional | 54 · Surgery only | $95.50 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $21.38 Typical High $25.12 | Professional | 55 · Aftercare only | $19.05 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $14.13 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.88 | $14.13 | $16.98 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 37th of 51
$132
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.