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 $33.11 Median $35.48 Typical High $66.07 | Facility | None | $33.11 | $35.48 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $66.07 | Professional | None | $32.36 | $45.71 | $66.07 |
BCBS Louisiana Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $144.54 | Facility | None | $33.88 | $57.54 | $144.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $87.10 | Professional | None | $33.88 | $52.48 | $87.10 |
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 $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $93.33 | Professional | None | $26.30 | $43.65 | $93.33 |
United Setting Facility Modifier None Typical Low $79.43 Median $251.19 Typical High $1,202.26 | Facility | None | $79.43 | $251.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $81.28 | Professional | None | $28.18 | $52.48 | $81.28 |
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 $16.22 Median $22.91 Typical High $33.11 | Professional | 52 · Reduced service | $16.22 | $22.91 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $9.12 Typical High $13.18 | Professional | 53 · Discontinued | $6.46 | $9.12 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.92 Typical High $10.00 | Professional | 55 · Aftercare only | $4.79 | $6.92 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.57 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.24 | $4.57 | $6.61 |
Where Louisiana sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 25th of 51
$57.54
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.