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 $123.03 Median $128.82 Typical High $144.54 | Facility | None | $123.03 | $128.82 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $123.03 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $85.11 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $41.69 | $42.66 | $53.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $72.44 Median $281.84 Typical High $660.69 | Facility | None | $72.44 | $281.84 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $66.07 | $75.86 | $125.89 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $21.88 | $36.31 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $47.86 | $54.95 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $74.13 | $131.83 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $87.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $24.55 | $45.71 | $66.07 |
United Setting Facility Modifier None Typical Low $218.78 Median $562.34 Typical High $1,202.26 | Facility | None | $218.78 | $562.34 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $58.88 | $79.43 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $38.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $91.20 | Professional | TC · Technical part | $27.54 | $41.69 | $91.20 |
2 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 55 · Aftercare only Typical Low $18.62 Median $19.05 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.88 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.30 | $12.88 | $16.22 |
Where Louisiana sits
The same service costs 4.4 times more in Minnesota 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· 23rd of 51
$115
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.