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 $63.10 Median $63.10 Typical High $66.07 | Facility | None | $63.10 | $63.10 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $72.44 | Professional | None | $63.10 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.00 Typical High $10.96 | Professional | 55 · Aftercare only | $9.33 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.61 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.31 | $6.61 | $7.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $251.19 | Facility | None | $102.33 | $177.83 | $251.19 |
BCBS Louisiana Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
United Setting Facility Modifier None Typical Low $57.54 Median $141.25 Typical High $141.25 | Facility | None | $57.54 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $81.28 | Professional | None | $34.67 | $54.95 | $81.28 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $12.59 | $13.49 | $13.49 |
Where Louisiana sits
The same service costs 2.4 times more in Montana 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· 33rd of 51
$66.07
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.