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 $95.50 Median $102.33 Typical High $112.20 | Facility | None | $95.50 | $102.33 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $120.23 | Professional | None | $54.95 | $102.33 | $120.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $512.86 | Facility | None | $177.83 | $288.40 | $512.86 |
BCBS Louisiana Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $109.65 | Professional | None | $81.28 | $93.33 | $109.65 |
Christus Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $181.97 Typical High $512.86 | Facility | None | $72.44 | $181.97 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $154.88 | Professional | None | $41.69 | $45.71 | $154.88 |
United Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $478.63 | Facility | None | $194.98 | $257.04 | $478.63 |
United Setting Professional Modifier None Typical Low $56.23 Median $95.50 Typical High $169.82 | Professional | None | $56.23 | $95.50 | $169.82 |
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 $41.69 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.14 Typical High $18.20 | Professional | 55 · Aftercare only | $12.59 | $15.14 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.23 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.32 | $10.23 | $12.02 |
Where Louisiana sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 17th of 51
$115
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.