How much rates vary
Facilitymedian $69 · 10th to 90th $0 to $72Professionalmedian $78 · 10th to 90th $60 to $129
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 $70.79 Median $72.44 Typical High $83.18 | Facility | None | $70.79 | $72.44 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $120.23 | Professional | None | $66.07 | $83.18 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $181.97 | Professional | None | $58.88 | $70.79 | $181.97 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $93.33 | Professional | None | $67.61 | $79.43 | $93.33 |
Christus Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $131.83 | Professional | None | $61.66 | $67.61 | $131.83 |
United Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $109.65 | Professional | None | $56.23 | $72.44 | $109.65 |
13 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 $34.67 Median $35.48 Typical High $38.02 | Facility | 52 · Reduced service | $34.67 | $35.48 | $38.02 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $10.47 Median $10.72 Typical High $11.48 | Facility | 55 · Aftercare only | $10.47 | $10.72 | $11.48 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.08 Typical High $7.59 | Facility | 56 · Pre-op care only | $6.92 | $7.08 | $7.59 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | AF · Specialist physician | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | HO · Master's level | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | TD · Registered nurse | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $33.11 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $11.48 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.08 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.61 | $7.08 | $7.59 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | 25 · Same-day visit | $69.18 | $69.18 | $95.50 |
Ambetter Setting Professional Modifier 57 · Decision for surgery Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | 57 · Decision for surgery | $81.28 | $81.28 | $112.20 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | GC · Resident with teaching physician | $77.62 | $81.28 | $112.20 |
Ambetter Setting Professional Modifier HB · Adult program Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | HB · Adult program | $58.88 | $69.18 | $69.18 |
Where Louisiana sits
The same service costs 2.4 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· 34th of 51
$75.86
AK $155AL $64.57
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.