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 $24.55 Median $24.55 Typical High $30.90 | Facility | None | $24.55 | $24.55 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $32.36 | Professional | None | $24.55 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $12.30 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.17 Typical High $6.46 | Professional | 53 · Discontinued | $5.01 | $6.17 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.57 Typical High $4.90 | Professional | 55 · Aftercare only | $3.72 | $4.57 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.09 Typical High $3.24 | Professional | 56 · Pre-op care only | $2.45 | $3.09 | $3.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $38.02 Median $66.07 Typical High $93.33 | Facility | None | $38.02 | $66.07 | $93.33 |
BCBS Louisiana Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
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 $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $15.85 | Professional | None | $13.80 | $15.14 | $15.85 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier A1 · Dressing, 1 wound Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | A1 · Dressing, 1 wound | $38.90 | $38.90 | $38.90 |
Where Louisiana sits
The same service costs 3.2 times more in Hawaii than in Utah. 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· 28th of 51
$21.88
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.