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 $91.20 Median $104.71 Typical High $109.65 | Facility | None | $91.20 | $104.71 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $114.82 | Professional | None | $79.43 | $102.33 | $114.82 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $181.97 | Professional | None | $85.11 | $109.65 | $181.97 |
United Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $151.36 | Professional | None | $75.86 | $97.72 | $151.36 |
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 $50.12 Median $51.29 Typical High $54.95 | Facility | 52 · Reduced service | $50.12 | $51.29 | $54.95 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $16.60 | Facility | 55 · Aftercare only | $15.14 | $15.49 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.47 Typical High $10.96 | Facility | 56 · Pre-op care only | $10.00 | $10.47 | $10.96 |
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | AF · Specialist physician | $107.15 | $107.15 | $120.23 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $79.43 Median $81.28 Typical High $89.13 | Facility | HO · Master's level | $79.43 | $81.28 | $89.13 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $91.20 Median $91.20 Typical High $102.33 | Facility | TD · Registered nurse | $91.20 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | 52 · Reduced service | $51.29 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $16.60 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.47 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.23 | $10.47 | $10.96 |
Where Louisiana sits
The same service costs 2.9 times more in Alaska than in Ohio. 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· 33rd of 51
$102
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.