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 $19.95 Median $95.50 Typical High $288.40 | Facility | None | $19.95 | $95.50 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $117.49 | Professional | None | $19.95 | $35.48 | $117.49 |
BCBS Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $380.19 | Facility | None | $81.28 | $147.91 | $380.19 |
BCBS Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $123.03 | Professional | None | $19.95 | $32.36 | $123.03 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $912.01 | Facility | None | $66.07 | $107.15 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $54.95 Typical High $125.89 | Professional | None | $17.38 | $54.95 | $125.89 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $14.79 Median $63.10 Typical High $120.23 | Professional | None | $14.79 | $63.10 | $120.23 |
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 $10.00 Median $17.78 Typical High $58.88 | Professional | 52 · Reduced service | $10.00 | $17.78 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $7.08 Typical High $23.44 | Professional | 53 · Discontinued | $3.98 | $7.08 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $5.25 Typical High $17.78 | Professional | 55 · Aftercare only | $3.02 | $5.25 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $3.55 Typical High $11.75 | Professional | 56 · Pre-op care only | $2.00 | $3.55 | $11.75 |
Where Louisiana sits
The same service costs 5.9 times more in Iowa 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· 14th of 51
$81.28
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.