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 $4.68 Median $4.68 Typical High $5.89 | Facility | None | $4.68 | $4.68 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $6.17 | Professional | None | $4.68 | $5.89 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.95 Typical High $3.09 | Professional | 52 · Reduced service | $2.34 | $2.95 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.17 Typical High $1.23 | Professional | 53 · Discontinued | $0.95 | $1.17 | $1.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.87 Typical High $0.93 | Professional | 55 · Aftercare only | $0.71 | $0.87 | $0.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.58 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.47 | $0.58 | $0.62 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7.24 Median $12.59 Typical High $17.78 | Facility | None | $7.24 | $12.59 | $17.78 |
BCBS Louisiana Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $5.01 | Professional | None | $2.34 | $3.89 | $5.01 |
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 $7.41 Median $7.41 Typical High $7.41 | Professional | A1 · Dressing, 1 wound | $7.41 | $7.41 | $7.41 |
Where Louisiana sits
The same service costs 2.6 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· 32nd of 51
$4.37
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.