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 $0.98 Median $0.98 Typical High $1.20 | Facility | None | $0.98 | $0.98 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $0.98 Median $1.20 Typical High $1.29 | Professional | None | $0.98 | $1.20 | $1.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.18 Typical High $0.19 | Professional | 55 · Aftercare only | $0.15 | $0.18 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1.48 Median $2.57 Typical High $3.63 | Facility | None | $1.48 | $2.57 | $3.63 |
BCBS Louisiana Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
United Setting Professional Modifier None Typical Low $0.56 Median $0.85 Typical High $8.51 | Professional | None | $0.56 | $0.85 | $8.51 |
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 SC · Medically necessary Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | SC · Medically necessary | $100.00 | $100.00 | $100.00 |
Where Louisiana sits
The same service costs 7.4 times more in Kentucky than in Delaware. 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· 37th of 51
$1.20
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.