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 $67.61 Median $79.43 Typical High $125.89 | Facility | None | $67.61 | $79.43 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $125.89 | Professional | None | $67.61 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $43.65 Typical High $63.10 | Professional | 52 · Reduced service | $33.88 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $25.70 | Professional | 53 · Discontinued | $13.80 | $17.38 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.18 Typical High $19.05 | Professional | 55 · Aftercare only | $10.23 | $13.18 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.71 Typical High $12.59 | Professional | 56 · Pre-op care only | $6.92 | $8.71 | $12.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $138.04 | Facility | None | $0.02 | $0.02 | $138.04 |
BCBS Louisiana Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $107.15 | Professional | None | $61.66 | $81.28 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $91.20 | Professional | None | $47.86 | $79.43 | $91.20 |
United Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $100.00 | Professional | None | $34.67 | $58.88 | $100.00 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 40th of 51
$72.44
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.