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 $2.45 Median $2.45 Typical High $3.02 | Facility | None | $2.45 | $2.45 | $3.02 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $3.16 | Professional | None | $2.45 | $3.02 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.51 Typical High $1.58 | Professional | 52 · Reduced service | $1.23 | $1.51 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.60 Typical High $0.63 | Professional | 53 · Discontinued | $0.49 | $0.60 | $0.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.82 Median $2.24 Typical High $2.40 | Professional | 54 · Surgery only | $1.82 | $2.24 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.45 Typical High $0.48 | Professional | 55 · Aftercare only | $0.36 | $0.45 | $0.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.30 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.24 | $0.30 | $0.32 |
Ambetter Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
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 Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
United Setting Professional Modifier None Typical Low $1.20 Median $2.00 Typical High $2.57 | Professional | None | $1.20 | $2.00 | $2.57 |
Where Louisiana sits
The same service costs 4.0 times more in Rhode Island than in New York. 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· 42nd of 51
$2.09
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.