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 $85.11 Median $85.11 Typical High $91.20 | Facility | None | $85.11 | $85.11 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $97.72 | Professional | None | $85.11 | $91.20 | $97.72 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $338.84 | Facility | None | $138.04 | $239.88 | $338.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Christus Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None | $64.57 | $64.57 | $89.13 |
United Setting Facility Modifier None Typical Low $77.62 Median $190.55 Typical High $190.55 | Facility | None | $77.62 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $100.00 | Professional | None | $46.77 | $72.44 | $100.00 |
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 $42.66 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $42.66 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $13.49 Typical High $14.79 | Professional | 55 · Aftercare only | $12.88 | $13.49 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.12 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.51 | $9.12 | $9.77 |
Where Louisiana sits
The same service costs 2.8 times more in Kansas than in Delaware. 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· 26th of 51
$91.20
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.