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 $50.12 Median $58.88 Typical High $120.23 | Facility | None | $50.12 | $58.88 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $120.23 | Professional | None | $50.12 | $67.61 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $33.88 Typical High $60.26 | Professional | 52 · Reduced service | $25.12 | $33.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $13.49 Typical High $23.99 | Professional | 53 · Discontinued | $10.00 | $13.49 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $10.23 Typical High $18.20 | Professional | 55 · Aftercare only | $7.41 | $10.23 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $6.76 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.01 | $6.76 | $12.02 |
BCBS Louisiana Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $302.00 | Facility | None | $114.82 | $204.17 | $302.00 |
BCBS Louisiana Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $104.71 | Professional | None | $45.71 | $74.13 | $104.71 |
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 Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $89.13 | Professional | None | $36.31 | $74.13 | $89.13 |
United Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $95.50 | Professional | None | $30.20 | $46.77 | $95.50 |
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 2.5 times more in Alaska than in Washington, DC. 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
$63.10
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.