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 $21.38 Median $21.38 Typical High $22.39 | Facility | None | $21.38 | $21.38 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $21.38 Typical High $27.54 | Professional | None (both parts) | $20.42 | $21.38 | $27.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $21.88 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $19.05 Typical High $29.51 | Professional | None (both parts) | $15.85 | $19.05 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $24.55 Typical High $37.15 | Professional | None (both parts) | $16.98 | $24.55 | $37.15 |
5 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 $10.23 Median $10.72 Typical High $13.80 | Professional | 52 · Reduced service | $10.23 | $10.72 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $5.62 | Professional | 53 · Discontinued | $4.07 | $4.27 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.16 Typical High $4.17 | Professional | 55 · Aftercare only | $3.09 | $3.16 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.14 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.04 | $2.14 | $2.75 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Louisiana sits
The same service costs 4.3 times more in Alaska than in New York. 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· 44th of 51
$21.38
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.