How much rates vary
Facilitymedian $135 · 10th to 90th $59 to $257Professionalmedian $141 · 10th to 90th $112 to $195
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 $141.25 Typical High $181.97 | Facility | None | $123.03 | $141.25 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $181.97 | Professional | None | $123.03 | $144.54 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $165.96 Typical High $223.87 | Professional | None | $100.00 | $165.96 | $223.87 |
BCBS Louisiana Setting Facility Modifier None Typical Low $38.02 Median $79.43 Typical High $346.74 | Facility | None | $38.02 | $79.43 | $346.74 |
BCBS Louisiana Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $162.18 | Professional | None | $128.82 | $151.36 | $162.18 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $169.82 | Facility | None | $128.82 | $151.36 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $181.97 | Professional | None | $107.15 | $128.82 | $181.97 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $208.93 | Professional | None | $104.71 | $144.54 | $208.93 |
15 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 Facility Modifier 52 · Reduced service Typical Low $64.57 Median $70.79 Typical High $85.11 | Facility | 52 · Reduced service | $64.57 | $70.79 | $85.11 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $19.05 Median $21.38 Typical High $25.12 | Facility | 55 · Aftercare only | $19.05 | $21.38 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $12.88 Median $14.13 Typical High $16.98 | Facility | 56 · Pre-op care only | $12.88 | $14.13 | $16.98 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $165.96 Median $169.82 Typical High $186.21 | Facility | AF · Specialist physician | $165.96 | $169.82 | $186.21 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $123.03 Median $128.82 Typical High $141.25 | Facility | HO · Master's level | $123.03 | $128.82 | $141.25 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $141.25 Median $144.54 Typical High $158.49 | Facility | TD · Registered nurse | $141.25 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $69.18 Typical High $85.11 | Professional | 52 · Reduced service | $63.10 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $20.42 Typical High $25.12 | Professional | 55 · Aftercare only | $19.05 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $16.98 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $141.25 Median $173.78 Typical High $234.42 | Professional | 25 · Same-day visit | $141.25 | $173.78 | $234.42 |
Ambetter Setting Professional Modifier 57 · Decision for surgery Typical Low $134.90 Median $199.53 Typical High $229.09 | Professional | 57 · Decision for surgery | $134.90 | $199.53 | $229.09 |
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | AF · Specialist physician | $165.96 | $165.96 | $165.96 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | FS · Shared visit | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $128.82 Median $199.53 Typical High $275.42 | Professional | GC · Resident with teaching physician | $128.82 | $199.53 | $275.42 |
Ambetter Setting Professional Modifier TH · Pregnancy care Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | TH · Pregnancy care | $165.96 | $165.96 | $190.55 |
Where Louisiana sits
The same service costs 2.3 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· 37th of 51
$141
AK $263AL $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.