How much rates vary
Facilitymedian $339 · 10th to 90th $55 to $832Professionalmedian $117 · 10th to 90th $79 to $141
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 $102.33 Median $117.49 Typical High $125.89 | Facility | None | $102.33 | $117.49 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $102.33 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $70.79 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $46.77 Typical High $48.98 | Professional | TC · Technical part | $44.67 | $46.77 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
BCBS Louisiana Setting Facility Modifier None Typical Low $54.95 Median $281.84 Typical High $741.31 | Facility | None | $54.95 | $281.84 | $741.31 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $104.71 | $125.89 | $141.25 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $69.18 | $77.62 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $47.86 | $54.95 | $63.10 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $446.68 Typical High $707.95 | Facility | None | $58.88 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $64.57 | $102.33 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $58.88 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $28.84 | $46.77 | $60.26 |
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 (both parts) Typical Low $75.86 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $75.86 | $109.65 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $30.90 | $45.71 | $67.61 |
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 $54.95 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $19.05 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $12.59 |
Where Louisiana sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 24th of 51
$120
AK $331AL $56.23
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.