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 $83.18 Median $104.71 Typical High $141.25 | Facility | None | $83.18 | $104.71 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $141.25 | Professional | None | $83.18 | $114.82 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $676.08 | Facility | None | $75.86 | $87.10 | $676.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $154.88 | Professional | None | $85.11 | $109.65 | $154.88 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $91.20 Typical High $131.83 | Facility | None | $67.61 | $91.20 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $169.82 | Professional | None | $75.86 | $114.82 | $169.82 |
United Setting Facility Modifier None Typical Low $91.20 Median $380.19 Typical High $1,202.26 | Facility | None | $91.20 | $380.19 | $1,202.26 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $147.91 | Professional | None | $63.10 | $91.20 | $147.91 |
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 $41.69 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.98 Typical High $21.38 | Professional | 55 · Aftercare only | $12.59 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.48 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.32 | $11.48 | $14.13 |
Where Louisiana sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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
$110
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.