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 $162.18 Median $1,258.93 Typical High $3,467.37 | Facility | None | $162.18 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $213.80 | Professional | None | $123.03 | $162.18 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | None | $125.89 | $134.90 | $134.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $112.20 Typical High $676.08 | Facility | None | $97.72 | $112.20 | $676.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $218.78 | Professional | None | $125.89 | $158.49 | $218.78 |
Christus Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $162.18 | Facility | None | $75.86 | $100.00 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $234.42 | Professional | None | $109.65 | $162.18 | $234.42 |
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 $91.20 Median $131.83 Typical High $213.80 | Professional | None | $91.20 | $131.83 | $213.80 |
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 $61.66 Median $81.28 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $24.55 Typical High $30.20 | Professional | 55 · Aftercare only | $18.62 | $24.55 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $16.22 Typical High $20.42 | Professional | 56 · Pre-op care only | $12.30 | $16.22 | $20.42 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$158
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.