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 $4.57 Median $4.57 Typical High $5.62 | Facility | None | $4.57 | $4.57 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.62 Typical High $6.31 | Professional | None | $4.57 | $5.62 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.69 Median $0.85 Typical High $0.95 | Professional | 55 · Aftercare only | $0.69 | $0.85 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.46 Median $0.56 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.46 | $0.56 | $0.63 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6.92 Median $12.02 Typical High $17.38 | Facility | None | $6.92 | $12.02 | $17.38 |
BCBS Louisiana Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
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 Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.80 Typical High $4.90 | Professional | None | $2.24 | $3.80 | $4.90 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | SC · Medically necessary | $5.75 | $5.75 | $5.75 |
Where Louisiana sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 23rd of 51
$5.62
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.