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 $12.88 Median $15.85 Typical High $16.22 | Facility | None | $12.88 | $15.85 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $16.98 | Professional | None | $12.30 | $12.88 | $16.98 |
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 $15.49 Median $19.05 Typical High $21.38 | Professional | None | $15.49 | $19.05 | $21.38 |
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 $8.91 Median $14.45 Typical High $20.89 | Professional | None | $8.91 | $14.45 | $20.89 |
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 $11.48 Median $15.14 Typical High $25.70 | Professional | None | $11.48 | $15.14 | $25.70 |
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 $6.17 Median $6.31 Typical High $8.51 | Professional | 52 · Reduced service | $6.17 | $6.31 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $3.39 | Professional | 53 · Discontinued | $2.45 | $2.51 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.91 Typical High $2.51 | Professional | 55 · Aftercare only | $1.86 | $1.91 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.29 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.23 | $1.29 | $1.70 |
Where Louisiana sits
The same service costs 12.3 times more in Florida 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
$22.91
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.