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 $17.78 Median $23.99 Typical High $39.81 | Facility | None | $17.78 | $23.99 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $32.36 Typical High $41.69 | Professional | None | $17.78 | $32.36 | $41.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1.41 Median $97.72 Typical High $263.03 | Facility | None | $1.41 | $97.72 | $263.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $20.42 Median $26.92 Typical High $47.86 | Professional | None | $20.42 | $26.92 | $47.86 |
Christus Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $251.19 | Facility | None | $66.07 | $100.00 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $44.67 | Professional | None | $14.79 | $26.30 | $44.67 |
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 $16.22 Median $29.51 Typical High $53.70 | Professional | None | $16.22 | $29.51 | $53.70 |
5 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 $8.91 Median $16.22 Typical High $20.89 | Professional | 52 · Reduced service | $8.91 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $6.46 Typical High $8.32 | Professional | 53 · Discontinued | $3.55 | $6.46 | $8.32 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $23.99 Typical High $31.62 | Professional | 54 · Surgery only | $13.18 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.79 Typical High $6.31 | Professional | 55 · Aftercare only | $2.63 | $4.79 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $3.24 Typical High $4.17 | Professional | 56 · Pre-op care only | $1.78 | $3.24 | $4.17 |
Where Louisiana sits
The same service costs 3.5 times more in Wisconsin 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· 16th of 51
$37.15
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.