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 $2.88 Median $2.88 Typical High $3.55 | Facility | None | $2.88 | $2.88 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.55 Typical High $3.98 | Professional | None | $2.88 | $3.55 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4.37 Median $7.59 Typical High $10.72 | Facility | None | $4.37 | $7.59 | $10.72 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.24 | Facility | None | $3.02 | $3.02 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.02 | Professional | None | $2.57 | $2.57 | $3.02 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $3.02 | Professional | None | $1.41 | $2.34 | $3.02 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.78 Typical High $2.00 | Professional | 52 · Reduced service | $1.45 | $1.78 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.71 Typical High $0.79 | Professional | 53 · Discontinued | $0.56 | $0.71 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.52 Typical High $0.59 | Professional | 55 · Aftercare only | $0.43 | $0.52 | $0.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.35 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.28 | $0.35 | $0.40 |
Where Louisiana sits
The same service costs 2.3 times more in Kansas 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· 21st of 51
$3.55
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.