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 $10.47 Median $12.59 Typical High $21.88 | Facility | None | $10.47 | $12.59 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $18.20 Typical High $23.99 | Professional | None | $10.47 | $18.20 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1.41 Median $3.72 Typical High $7.94 | Facility | None | $1.41 | $3.72 | $7.94 |
BCBS Louisiana Setting Professional Modifier None Typical Low $12.59 Median $19.05 Typical High $30.90 | Professional | None | $12.59 | $19.05 | $30.90 |
Christus Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $18.20 Typical High $28.18 | Facility | None | $7.76 | $18.20 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $29.51 | Professional | None | $9.12 | $16.60 | $29.51 |
United Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $30.90 | Professional | None | $10.00 | $17.78 | $30.90 |
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 $5.25 Median $9.33 Typical High $12.02 | Professional | 52 · Reduced service | $5.25 | $9.33 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $3.72 Typical High $4.79 | Professional | 53 · Discontinued | $2.14 | $3.72 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $2.82 Typical High $3.63 | Professional | 55 · Aftercare only | $1.58 | $2.82 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.86 Typical High $2.40 | Professional | 56 · Pre-op care only | $1.07 | $1.86 | $2.40 |
Where Louisiana sits
The same service costs 3.1 times more in Wisconsin than in Louisiana. 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· 51st of 51
$14.45
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.