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 $5.01 Median $10.00 Typical High $26.92 | Facility | None | $5.01 | $10.00 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $18.20 | Professional | None | $5.01 | $10.00 | $18.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $14.79 | Professional | None | $11.48 | $14.79 | $14.79 |
Christus Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.30 Typical High $13.80 | Professional | None | $10.47 | $12.30 | $13.80 |
United Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $15.14 | Professional | None | $9.77 | $11.75 | $15.14 |
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 $2.51 Median $3.47 Typical High $5.01 | Professional | 52 · Reduced service | $2.51 | $3.47 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.41 Typical High $2.00 | Professional | 53 · Discontinued | $1.00 | $1.41 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $1.05 Typical High $1.51 | Professional | 55 · Aftercare only | $0.76 | $1.05 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.71 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.50 | $0.71 | $1.00 |
Where Louisiana sits
The same service costs 5.6 times more in Alabama 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· 25th of 51
$14.79
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.