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 $309.03 Median $309.03 Typical High $323.59 | Facility | None | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $309.03 | $323.59 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
BCBS Louisiana Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $1,230.27 | Facility | None | $489.78 | $851.14 | $1,230.27 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $229.09 | $229.09 | $316.23 |
United Setting Facility Modifier None Typical Low $588.84 Median $691.83 Typical High $691.83 | Facility | None | $588.84 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $165.96 | $263.03 | $363.08 |
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 $154.88 Median $162.18 Typical High $177.83 | Professional | 52 · Reduced service | $154.88 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $61.66 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $48.98 Typical High $53.70 | Professional | 55 · Aftercare only | $45.71 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $32.36 Typical High $35.48 | Professional | 56 · Pre-op care only | $30.90 | $32.36 | $35.48 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Where Louisiana sits
The same service costs 2.6 times more in Montana 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· 31st of 51
$316
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.