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 $23.99 Median $28.18 Typical High $95.50 | Facility | None | $23.99 | $28.18 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $38.02 Typical High $95.50 | Professional | None | $23.99 | $38.02 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $18.62 Typical High $47.86 | Professional | 52 · Reduced service | $12.02 | $18.62 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.59 Typical High $19.05 | Professional | 53 · Discontinued | $4.79 | $7.59 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $5.62 Typical High $14.13 | Professional | 55 · Aftercare only | $3.63 | $5.62 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $5.50 Typical High $9.55 | Professional | 56 · Pre-op care only | $2.40 | $5.50 | $9.55 |
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 $21.88 Median $34.67 Typical High $87.10 | Professional | None | $21.88 | $34.67 | $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 Professional Modifier None Typical Low $17.78 Median $46.77 Typical High $74.13 | Professional | None | $17.78 | $46.77 | $74.13 |
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 $15.49 Median $36.31 Typical High $75.86 | Professional | None | $15.49 | $36.31 | $75.86 |
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 4.4 times more in Hawaii 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· 29th of 51
$46.77
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.