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 $1,584.89 Median $1,584.89 Typical High $2,398.83 | Facility | None | $1,584.89 | $1,584.89 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
Ambetter Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,511.89 Median $4,466.84 Typical High $6,309.57 | Facility | None | $2,511.89 | $4,466.84 | $6,309.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Christus Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $870.96 Median $3,090.30 Typical High $3,090.30 | Facility | None | $870.96 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,380.38 Typical High $1,737.80 | Professional | None | $758.58 | $1,380.38 | $1,737.80 |
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 $794.33 Median $831.76 Typical High $1,202.26 | Professional | 52 · Reduced service | $794.33 | $831.76 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $331.13 Typical High $489.78 | Professional | 53 · Discontinued | $316.23 | $331.13 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $251.19 Typical High $363.08 | Professional | 55 · Aftercare only | $234.42 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | 56 · Pre-op care only | $158.49 | $165.96 | $239.88 |
Where Louisiana sits
The same service costs 2.3 times more in Wisconsin than in Pennsylvania. 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· 28th of 51
$1,660
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.