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 $125.89 Median $2,187.76 Typical High $3,890.45 | Facility | None | $125.89 | $2,187.76 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $263.03 | Professional | None | $79.43 | $151.36 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $162.18 Median $398.11 Typical High $812.83 | Facility | None | $162.18 | $398.11 | $812.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $263.03 | Professional | None | $87.10 | $120.23 | $263.03 |
Christus Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $263.03 | Professional | None | $69.18 | $128.82 | $263.03 |
United Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $53.70 | Facility | None | $43.65 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $269.15 | Professional | None | $66.07 | $147.91 | $269.15 |
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 $72.44 Typical High $131.83 | Professional | 52 · Reduced service | $39.81 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $28.84 Typical High $52.48 | Professional | 53 · Discontinued | $15.85 | $28.84 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $107.15 Typical High $194.98 | Professional | 54 · Surgery only | $60.26 | $107.15 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $21.38 Typical High $38.90 | Professional | 55 · Aftercare only | $12.02 | $21.38 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $14.45 Typical High $26.30 | Professional | 56 · Pre-op care only | $7.94 | $14.45 | $26.30 |
Where Louisiana sits
The same service costs 2.9 times more in Washington than in Kentucky. 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· 39th of 51
$158
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.