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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $48.98 | Professional | None | $41.69 | $48.98 | $48.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $51.29 | Facility | None | $25.70 | $30.90 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $25.70 | Professional | None | $21.88 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $28.84 Median $70.79 Typical High $74.13 | Professional | None | $28.84 | $70.79 | $74.13 |
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 $20.89 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $6.31 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.17 | $4.90 | $4.90 |
Where Louisiana sits
The same service costs 3.1 times more in Wisconsin than in New York. 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· 5th of 51
$70.79
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.