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 $5.37 Median $5.37 Typical High $6.61 | Facility | None | $5.37 | $5.37 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $6.61 Typical High $7.24 | Professional | None | $5.37 | $6.61 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.98 Typical High $1.10 | Professional | 55 · Aftercare only | $0.79 | $0.98 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.66 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.52 | $0.66 | $0.72 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8.13 Median $14.13 Typical High $19.95 | Facility | None | $8.13 | $14.13 | $19.95 |
BCBS Louisiana Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
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 Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.17 | Professional | None | $5.25 | $5.25 | $6.17 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.37 Typical High $6.31 | Professional | None | $2.88 | $4.37 | $6.31 |
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 KX · Policy requirements met Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | KX · Policy requirements met | $6.31 | $6.31 | $6.31 |
Where Louisiana sits
The same service costs 2.1 times more in Hawaii than in Connecticut. 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· 34th of 51
$6.17
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.