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 $36.31 Median $42.66 Typical High $117.49 | Facility | None | $36.31 | $42.66 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $117.49 | Professional | None | $36.31 | $56.23 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $28.18 Typical High $58.88 | Professional | 52 · Reduced service | $18.20 | $28.18 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $11.22 Typical High $23.99 | Professional | 53 · Discontinued | $7.24 | $11.22 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $8.51 Typical High $17.78 | Professional | 55 · Aftercare only | $5.37 | $8.51 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $5.62 Typical High $11.75 | Professional | 56 · Pre-op care only | $3.63 | $5.62 | $11.75 |
BCBS Louisiana Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $154.88 | Facility | None | $57.54 | $102.33 | $154.88 |
BCBS Louisiana Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $107.15 | Professional | None | $33.11 | $51.29 | $107.15 |
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 $26.92 Median $66.07 Typical High $91.20 | Professional | None | $26.92 | $66.07 | $91.20 |
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 $23.44 Median $46.77 Typical High $95.50 | Professional | None | $23.44 | $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 3.5 times more in Hawaii than in Maryland. 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· 47th 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.