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 $5.01 Median $5.50 Typical High $42.66 | Facility | None | $5.01 | $5.50 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $35.48 | Professional | None | $5.01 | $7.24 | $35.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
BCBS Louisiana Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | None | $19.50 | $19.50 | $22.91 |
Christus Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
United Setting Facility Modifier None Typical Low $53.70 Median $70.79 Typical High $128.82 | Facility | None | $53.70 | $70.79 | $128.82 |
United Setting Professional Modifier None Typical Low $12.88 Median $17.78 Typical High $23.99 | Professional | None | $12.88 | $17.78 | $23.99 |
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 $2.51 Median $3.02 Typical High $3.63 | Professional | 52 · Reduced service | $2.51 | $3.02 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.23 Typical High $1.45 | Professional | 53 · Discontinued | $1.00 | $1.23 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.91 Typical High $1.07 | Professional | 55 · Aftercare only | $0.76 | $0.91 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.50 Median $0.62 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.50 | $0.62 | $0.72 |
Where Louisiana sits
The same service costs 4.6 times more in Alabama than in Missouri. 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· 15th of 51
$34.67
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.