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 $64.57 Median $64.57 Typical High $69.18 | Facility | None | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $75.86 | Professional | None (both parts) | $64.57 | $69.18 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
BCBS Louisiana Setting Facility Modifier None Typical Low $104.71 Median $181.97 Typical High $257.04 | Facility | None | $104.71 | $181.97 | $257.04 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $64.57 | $64.57 | $89.13 |
United Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $151.36 | Facility | None | $72.44 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $54.95 Typical High $79.43 | Professional | None (both parts) | $37.15 | $54.95 | $79.43 |
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 $32.36 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $32.36 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $12.88 | $13.80 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.47 Typical High $11.22 | Professional | 55 · Aftercare only | $9.77 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.92 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.46 | $6.92 | $7.59 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Where Louisiana sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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· 38th of 51
$69.18
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.