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 $102.33 Typical High $141.25 | Facility | None | $83.18 | $102.33 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $141.25 | Professional | None | $83.18 | $112.20 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $380.19 | Facility | None | $75.86 | $87.10 | $380.19 |
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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $128.82 | Facility | None | $66.07 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $165.96 | Professional | None | $75.86 | $114.82 | $165.96 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $144.54 | Professional | None | $61.66 | $91.20 | $144.54 |
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 $40.74 Median $56.23 Typical High $69.18 | Professional | 52 · Reduced service | $40.74 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $20.89 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.22 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.32 | $11.22 | $14.13 |
Where Louisiana sits
The same service costs 3.7 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· 23rd 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.