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 $48.98 Median $66.07 Typical High $93.33 | Facility | None | $48.98 | $66.07 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $72.44 Typical High $97.72 | Professional | None | $48.98 | $72.44 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None | $97.72 | $100.00 | $100.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $77.62 Median $234.42 Typical High $446.68 | Facility | None | $77.62 | $234.42 | $446.68 |
BCBS Louisiana Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $107.15 | Professional | None | $50.12 | $64.57 | $107.15 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $151.36 | Facility | None | $75.86 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $114.82 | Professional | None | $44.67 | $69.18 | $114.82 |
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 $36.31 Median $60.26 Typical High $97.72 | Professional | None | $36.31 | $60.26 | $97.72 |
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 $23.99 Median $33.88 Typical High $46.77 | Professional | 52 · Reduced service | $23.99 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.49 Typical High $18.62 | Professional | 53 · Discontinued | $9.77 | $13.49 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $10.23 Typical High $14.13 | Professional | 55 · Aftercare only | $7.24 | $10.23 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.76 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.79 | $6.76 | $9.33 |
Where Louisiana sits
The same service costs 4.0 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· 27th of 51
$69.18
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.