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 $39.81 Median $45.71 Typical High $47.86 | Facility | None | $39.81 | $45.71 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $45.71 Typical High $47.86 | Professional | None | $39.81 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.92 Typical High $7.08 | Professional | 55 · Aftercare only | $6.03 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.57 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.98 | $4.57 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $50.12 Typical High $50.12 | Professional | None | $15.85 | $50.12 | $50.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None Typical Low $15.49 Median $32.36 Typical High $53.70 | Professional | None | $15.49 | $32.36 | $53.70 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | KX · Policy requirements met | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Louisiana sits
The same service costs 6.6 times more in Hawaii than in Wyoming. 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
$45.71
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.