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 $16.22 Median $16.98 Typical High $30.90 | Facility | None | $16.22 | $16.98 | $30.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.98 Typical High $19.05 | Professional | None (both parts) | $16.22 | $16.98 | $19.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $26.30 Median $45.71 Typical High $64.57 | Facility | None | $26.30 | $45.71 | $64.57 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
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 $22.39 Median $22.39 Typical High $24.55 | Facility | None | $22.39 | $22.39 | $24.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | None (both parts) | $16.22 | $16.22 | $22.39 |
United Setting Facility Modifier None Typical Low $19.95 Median $40.74 Typical High $40.74 | Facility | None | $19.95 | $40.74 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $10.00 Median $14.13 Typical High $21.38 | Professional | None (both parts) | $10.00 | $14.13 | $21.38 |
5 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 $8.13 Median $8.51 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.47 Typical High $3.72 | Professional | 53 · Discontinued | $3.24 | $3.47 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $2.57 Typical High $2.82 | Professional | 55 · Aftercare only | $2.40 | $2.57 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.74 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.62 | $1.74 | $1.86 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Where Louisiana sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 40th of 51
$17.78
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.