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 $70.79 Median $72.44 Typical High $79.43 | Facility | None | $70.79 | $72.44 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $125.89 | Professional | None | $67.61 | $83.18 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $190.55 | Professional | None | $61.66 | $74.13 | $190.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $75.86 Median $131.83 Typical High $186.21 | Facility | None | $75.86 | $131.83 | $186.21 |
BCBS Louisiana Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $95.50 | Professional | None | $69.18 | $81.28 | $95.50 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $134.90 | Professional | None | $61.66 | $69.18 | $134.90 |
United Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | None | $61.66 | $77.62 | $114.82 |
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 $34.67 Median $36.31 Typical High $38.02 | Facility | 52 · Reduced service | $34.67 | $36.31 | $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 $7.08 Median $7.24 Typical High $7.59 | Facility | 56 · Pre-op care only | $7.08 | $7.24 | $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 $33.88 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.72 Typical High $11.48 | Professional | 55 · Aftercare only | $10.23 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $7.59 |
Where Louisiana sits
The same service costs 2.3 times more in Alaska than in New Jersey. 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· 35th of 51
$79.43
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.