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 $33.88 Median $2,511.89 Typical High $3,890.45 | Facility | None | $33.88 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $33.88 Typical High $54.95 | Professional | None | $23.44 | $33.88 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | None | $39.81 | $39.81 | $48.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $19.50 Median $50.12 Typical High $177.83 | Facility | None | $19.50 | $50.12 | $177.83 |
BCBS Louisiana Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $48.98 | Professional | None | $26.92 | $33.88 | $48.98 |
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 $501.19 Median $851.14 Typical High $2,691.53 | Facility | None | $501.19 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $75.86 | Professional | None | $31.62 | $47.86 | $75.86 |
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 $11.75 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $11.75 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.76 Typical High $7.76 | Professional | 53 · Discontinued | $4.79 | $6.76 | $7.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $25.70 Typical High $29.51 | Professional | 54 · Surgery only | $17.78 | $25.70 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $5.13 Typical High $5.89 | Professional | 55 · Aftercare only | $3.55 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.39 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.34 | $3.39 | $3.89 |
Where Louisiana sits
The same service costs 2.8 times more in Alaska than in California. 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· 44th of 51
$46.77
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.