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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.80 Typical High $1,174.90 | Professional | None | $3.16 | $3.80 | $1,174.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3.31 Median $6.03 Typical High $9.55 | Facility | None | $3.31 | $6.03 | $9.55 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Christus Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $8.13 Typical High $39.81 | Facility | None | $3.47 | $8.13 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $2.04 | Professional | None | $1.26 | $1.26 | $2.04 |
United Setting Facility Modifier None Typical Low $3.89 Median $8.32 Typical High $9.33 | Facility | None | $3.89 | $8.32 | $9.33 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.51 Typical High $4.47 | Professional | None | $1.26 | $1.51 | $4.47 |
5 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 $1.58 Median $1.82 Typical High $1.95 | Professional | 52 · Reduced service | $1.58 | $1.82 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.72 Typical High $0.78 | Professional | 53 · Discontinued | $0.65 | $0.72 | $0.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.40 Median $2.69 Typical High $2.95 | Professional | 54 · Surgery only | $2.40 | $2.69 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.54 Typical High $0.59 | Professional | 55 · Aftercare only | $0.48 | $0.54 | $0.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.36 Typical High $0.39 | Professional | 56 · Pre-op care only | $0.32 | $0.36 | $0.39 |
Where Louisiana sits
The same service costs 25.7 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· 25th of 51
$6.03
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.