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 $53.70 Median $69.18 Typical High $93.33 | Facility | None | $53.70 | $69.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $93.33 | Professional | None | $53.70 | $74.13 | $93.33 |
BCBS Louisiana Setting Facility Modifier None Typical Low $43.65 Median $138.04 Typical High $331.13 | Facility | None | $43.65 | $138.04 | $331.13 |
BCBS Louisiana Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $104.71 | Professional | None | $56.23 | $72.44 | $104.71 |
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 $41.69 Median $69.18 Typical High $100.00 | Facility | None | $41.69 | $69.18 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $112.20 | Professional | None | $48.98 | $75.86 | $112.20 |
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 $40.74 Median $61.66 Typical High $97.72 | Professional | None | $40.74 | $61.66 | $97.72 |
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 $26.92 Median $37.15 Typical High $46.77 | Professional | 52 · Reduced service | $26.92 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.79 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.22 Typical High $14.13 | Professional | 55 · Aftercare only | $8.13 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.41 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.37 | $7.41 | $9.33 |
Where Louisiana sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 21st of 51
$72.44
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.