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 $3.72 Median $3.72 Typical High $4.57 | Facility | None | $3.72 | $3.72 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.57 Typical High $5.13 | Professional | None | $3.72 | $4.57 | $5.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5.62 Median $10.00 Typical High $14.13 | Facility | None | $5.62 | $10.00 | $14.13 |
BCBS Louisiana Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $4.17 | Facility | None | $3.89 | $3.89 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.89 | Professional | None | $3.31 | $3.31 | $3.89 |
United Setting Professional Modifier None Typical Low $1.86 Median $3.09 Typical High $4.27 | Professional | None | $1.86 | $3.09 | $4.27 |
4 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 $1.86 Median $2.29 Typical High $2.57 | Professional | 52 · Reduced service | $1.86 | $2.29 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.91 Typical High $1.02 | Professional | 53 · Discontinued | $0.76 | $0.91 | $1.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.69 Typical High $0.78 | Professional | 55 · Aftercare only | $0.56 | $0.69 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.46 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.38 | $0.46 | $0.52 |
Where Louisiana sits
The same service costs 2.1 times more in Montana than in New Jersey. 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· 23rd of 51
$4.57
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.