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 $1,949.84 Median $1,949.84 Typical High $2,951.21 | Facility | None | $1,949.84 | $1,949.84 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,041.74 | $3,019.95 |
Ambetter Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,630.78 | $3,630.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,162.28 Median $5,495.41 Typical High $7,762.47 | Facility | None | $3,162.28 | $5,495.41 | $7,762.47 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Christus Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,584.89 | $1,584.89 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $4,677.35 | Facility | None | $1,949.84 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,698.24 | $2,570.40 |
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 $977.24 Median $1,023.29 Typical High $1,479.11 | Professional | 52 · Reduced service | $977.24 | $1,023.29 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $416.87 Typical High $602.56 | Professional | 53 · Discontinued | $389.05 | $416.87 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $309.03 Typical High $446.68 | Professional | 55 · Aftercare only | $288.40 | $309.03 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | 56 · Pre-op care only | $194.98 | $204.17 | $302.00 |
Where Louisiana sits
The same service costs 2.6 times more in Wisconsin than in Delaware. 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· 22nd of 51
$2,570
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.