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 $169.82 Median $213.80 Typical High $229.09 | Facility | None | $169.82 | $213.80 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $323.59 | Professional | None | $165.96 | $213.80 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $218.78 Median $489.78 Typical High $489.78 | Professional | None | $218.78 | $489.78 | $489.78 |
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 $177.83 Median $208.93 Typical High $288.40 | Professional | None | $177.83 | $208.93 | $288.40 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $371.54 | Professional | None | $158.49 | $199.53 | $371.54 |
United Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $346.74 | Professional | None | $181.97 | $234.42 | $346.74 |
9 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 $104.71 Median $107.15 Typical High $114.82 | Facility | 52 · Reduced service | $104.71 | $107.15 | $114.82 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $31.62 Median $32.36 Typical High $34.67 | Facility | 55 · Aftercare only | $31.62 | $32.36 | $34.67 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $22.91 | Facility | 56 · Pre-op care only | $20.89 | $21.38 | $22.91 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $223.87 Median $223.87 Typical High $251.19 | Facility | AF · Specialist physician | $223.87 | $223.87 | $251.19 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $165.96 Median $169.82 Typical High $190.55 | Facility | HO · Master's level | $165.96 | $169.82 | $190.55 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $190.55 Median $190.55 Typical High $213.80 | Facility | TD · Registered nurse | $190.55 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $107.15 Typical High $114.82 | Professional | 52 · Reduced service | $91.20 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.38 Typical High $22.91 | Professional | 56 · Pre-op care only | $18.20 | $21.38 | $22.91 |
Where Louisiana sits
The same service costs 2.4 times more in Alaska than in Utah. 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· 36th of 51
$214
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.