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 $109.65 Median $123.03 Typical High $3,981.07 | Facility | None | $109.65 | $123.03 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $186.21 | Professional | None | $109.65 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.78 Typical High $19.50 | Professional | 55 · Aftercare only | $16.60 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $173.78 | Professional | None | $109.65 | $162.18 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $776.25 Typical High $1,380.38 | Facility | None | $0.02 | $776.25 | $1,380.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $147.91 | Professional | None | $125.89 | $138.04 | $147.91 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,290.87 Typical High $3,548.13 | Facility | None | $1,096.48 | $2,290.87 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $194.98 | Professional | None | $83.18 | $100.00 | $194.98 |
United Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $190.55 | Professional | None | $91.20 | $114.82 | $190.55 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $114.82 Median $257.04 Typical High $263.03 | Professional | 25 · Same-day visit | $114.82 | $257.04 | $263.03 |
Where Louisiana sits
The same service costs 2.7 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· 32nd of 51
$120
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.