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 $162.18 Median $162.18 Typical High $177.83 | Facility | None | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $190.55 | Professional | None | $162.18 | $177.83 | $190.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $371.54 Typical High $575.44 | Facility | None | $0.02 | $371.54 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $346.74 | Professional | None | $204.17 | $257.04 | $346.74 |
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 $81.28 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $81.28 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $38.02 | Professional | 53 · Discontinued | $32.36 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.92 Typical High $28.18 | Professional | 55 · Aftercare only | $24.55 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $17.78 Typical High $19.05 | Professional | 56 · Pre-op care only | $16.22 | $17.78 | $19.05 |
Where Louisiana sits
The same service costs 50.1 times more in Alaska than in Virginia. 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· 33rd of 51
$257
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.