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 $51.29 Median $63.10 Typical High $64.57 | Facility | None | $51.29 | $63.10 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $67.61 | Professional | None | $48.98 | $51.29 | $67.61 |
BCBS Louisiana Setting Facility Modifier None Typical Low $323.59 Median $371.54 Typical High $1,148.15 | Facility | None | $323.59 | $371.54 | $1,148.15 |
BCBS Louisiana Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $85.11 | Professional | None | $61.66 | $75.86 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $537.03 Typical High $794.33 | Facility | None | $316.23 | $537.03 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $57.54 Typical High $83.18 | Professional | None | $35.48 | $57.54 | $83.18 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $100.00 | Professional | None | $44.67 | $60.26 | $100.00 |
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 $24.55 Median $25.12 Typical High $33.88 | Professional | 52 · Reduced service | $24.55 | $25.12 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $10.23 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.59 Typical High $10.23 | Professional | 55 · Aftercare only | $7.41 | $7.59 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.13 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.90 | $5.13 | $6.76 |
Where Louisiana sits
The same service costs 4.7 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· 14th of 51
$87.10
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.