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 $42.66 Median $48.98 Typical High $51.29 | Facility | None | $42.66 | $48.98 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $51.29 | Professional | None | $42.66 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.41 Typical High $7.59 | Professional | 55 · Aftercare only | $6.46 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.90 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.27 | $4.90 | $5.13 |
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 Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
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 Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Facility | None | $44.67 | $44.67 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $102.33 | Professional | None | $21.38 | $35.48 | $102.33 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Where Louisiana sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 24th of 51
$48.98
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.