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 $3.98 Median $3.98 Typical High $4.90 | Facility | None | $3.98 | $3.98 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $5.37 | Professional | None | $3.98 | $4.90 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.72 Typical High $0.81 | Professional | 55 · Aftercare only | $0.59 | $0.72 | $0.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.49 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.40 | $0.49 | $0.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6.03 Median $10.47 Typical High $14.79 | Facility | None | $6.03 | $10.47 | $14.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Christus Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.47 | Facility | None | $4.17 | $4.17 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.17 | Professional | None | $3.55 | $3.55 | $4.17 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.24 Typical High $4.17 | Professional | None | $1.95 | $3.24 | $4.17 |
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 $4.90 Median $4.90 Typical High $4.90 | Professional | SC · Medically necessary | $4.90 | $4.90 | $4.90 |
Where Louisiana sits
The same service costs 2.1 times more in Kansas than in Colorado. 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· 21st of 51
$4.90
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.