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 $288.40 Median $288.40 Typical High $436.52 | Facility | None | $288.40 | $288.40 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $446.68 | Professional | None | $288.40 | $309.03 | $446.68 |
BCBS Louisiana Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $1,148.15 | Facility | None | $467.74 | $812.83 | $1,148.15 |
BCBS Louisiana Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Christus Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $263.03 | Professional | None | $190.55 | $190.55 | $263.03 |
United Setting Facility Modifier None Typical Low $263.03 Median $549.54 Typical High $549.54 | Facility | None | $263.03 | $549.54 | $549.54 |
United Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $309.03 | Professional | None | $134.90 | $257.04 | $309.03 |
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 $144.54 Median $154.88 Typical High $223.87 | Professional | 52 · Reduced service | $144.54 | $154.88 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $89.13 | Professional | 53 · Discontinued | $57.54 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $46.77 Typical High $67.61 | Professional | 55 · Aftercare only | $43.65 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $44.67 |
Where Louisiana sits
The same service costs 3.0 times more in Hawaii 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
$309
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.