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 $25.12 Median $26.92 Typical High $40.74 | Facility | None | $25.12 | $26.92 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $38.02 Typical High $41.69 | Professional | None | $25.12 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $14.13 Typical High $20.42 | Professional | 52 · Reduced service | $12.59 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.27 Typical High $6.03 | Professional | 55 · Aftercare only | $3.80 | $4.27 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.82 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.51 | $2.82 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $45.71 | Professional | None | $34.67 | $38.90 | $45.71 |
BCBS Louisiana Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $70.79 | Facility | None | $26.92 | $48.98 | $70.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $36.31 | Professional | None | $21.38 | $29.51 | $36.31 |
Christus Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $41.69 | Professional | None | $19.50 | $28.84 | $41.69 |
United Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $44.67 | Professional | None | $19.95 | $30.20 | $44.67 |
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 33 · Preventive service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 33 · Preventive service | $31.62 | $31.62 | $31.62 |
Where Louisiana sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 44th of 51
$30.20
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.