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 $1.10 Median $1.12 Typical High $1.26 | Facility | None | $1.10 | $1.12 | $1.26 |
Aetna Setting Professional Modifier None Typical Low $0.98 Median $1.23 Typical High $1.35 | Professional | None | $0.98 | $1.23 | $1.35 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.72 | Professional | None | $0.72 | $0.72 | $0.72 |
Christus Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
United Setting Professional Modifier None Typical Low $0.83 Median $1.02 Typical High $1.86 | Professional | None | $0.83 | $1.02 | $1.86 |
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 $0.49 Median $0.62 Typical High $0.68 | Professional | 52 · Reduced service | $0.49 | $0.62 | $0.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.25 Typical High $0.27 | Professional | 53 · Discontinued | $0.22 | $0.25 | $0.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.18 Typical High $0.20 | Professional | 55 · Aftercare only | $0.16 | $0.18 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.12 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.11 | $0.12 | $0.13 |
Where Louisiana sits
The same service costs 104.7 times more in Wyoming than in Connecticut. 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· 22nd of 51
$1.10
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.