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 $2.95 Median $2.95 Typical High $3.63 | Facility | None | $2.95 | $2.95 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $3.98 | Professional | None | $2.95 | $3.63 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.54 Typical High $0.60 | Professional | 55 · Aftercare only | $0.44 | $0.54 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.36 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.28 | $0.36 | $0.40 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4.47 Median $7.76 Typical High $10.96 | Facility | None | $4.47 | $7.76 | $10.96 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Christus Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Facility | None | $3.09 | $3.09 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.09 | Professional | None | $2.57 | $2.57 | $3.09 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.40 Typical High $3.09 | Professional | None | $1.45 | $2.40 | $3.09 |
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 $3.63 Median $3.63 Typical High $3.63 | Professional | KX · Policy requirements met | $3.63 | $3.63 | $3.63 |
Where Louisiana sits
The same service costs 3.2 times more in Kansas than in Missouri. 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· 22nd of 51
$3.63
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.