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 $588.84 Median $588.84 Typical High $616.60 | Facility | None | $588.84 | $588.84 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $645.65 | Professional | None | $467.74 | $616.60 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $2,344.23 | Facility | None | $954.99 | $1,659.59 | $2,344.23 |
BCBS Louisiana Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Christus Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None | $467.74 | $467.74 | $630.96 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Facility | None | $812.83 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $323.59 Median $524.81 Typical High $776.25 | Professional | None | $323.59 | $524.81 | $776.25 |
4 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 $263.03 Median $309.03 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $125.89 Typical High $128.82 | Professional | 53 · Discontinued | $104.71 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | 55 · Aftercare only | $79.43 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $61.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $52.48 | $61.66 | $64.57 |
Where Louisiana sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 29th of 51
$589
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.