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 $69.18 Typical High $69.18 | Facility | None | $64.57 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $57.54 | $69.18 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $75.86 | $91.20 | $123.03 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $42.66 | $42.66 | $57.54 |
United Setting Facility Modifier None Typical Low $43.65 Median $123.03 Typical High $123.03 | Facility | None | $43.65 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $52.48 Typical High $67.61 | Professional | None (both parts) | $30.20 | $52.48 | $67.61 |
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 $14.79 | Professional | 53 · Discontinued | $12.88 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $10.23 Typical High $11.22 | Professional | 55 · Aftercare only | $9.77 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.92 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $6.92 | $7.41 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Where Louisiana sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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
$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.