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 $331.13 Median $331.13 Typical High $501.19 | Facility | None | $331.13 | $331.13 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $346.74 Typical High $512.86 | Professional | None | $331.13 | $346.74 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,318.26 | Facility | None | $537.03 | $933.25 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Christus Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
United Setting Facility Modifier None Typical Low $263.03 Median $707.95 Typical High $707.95 | Facility | None | $263.03 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $389.05 | Professional | None | $173.78 | $288.40 | $389.05 |
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 $165.96 Median $173.78 Typical High $251.19 | Professional | 52 · Reduced service | $165.96 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $52.48 Typical High $75.86 | Professional | 55 · Aftercare only | $48.98 | $52.48 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.11 | $34.67 | $51.29 |
Where Louisiana sits
The same service costs 2.8 times more in Wyoming 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· 19th of 51
$389
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.