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 $7.59 Median $8.13 Typical High $8.71 | Facility | None | $7.59 | $8.13 | $8.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.59 Median $8.13 Typical High $9.33 | Professional | None (both parts) | $7.59 | $8.13 | $9.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $9.55 Median $11.75 Typical High $11.75 | Professional | None (both parts) | $9.55 | $11.75 | $11.75 |
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 (both parts) Typical Low $8.71 Median $8.71 Typical High $9.77 | Professional | None (both parts) | $8.71 | $8.71 | $9.77 |
Christus Setting Facility Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Facility | None | $1.82 | $1.82 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Facility | None | $20.89 | $20.89 | $21.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | None (both parts) | $15.49 | $15.49 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $5.37 Median $7.41 Typical High $12.88 | Professional | None (both parts) | $5.37 | $7.41 | $12.88 |
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 $3.80 Median $4.07 Typical High $4.37 | Professional | 52 · Reduced service | $3.80 | $4.07 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.62 Typical High $1.78 | Professional | 53 · Discontinued | $1.51 | $1.62 | $1.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.23 Typical High $1.32 | Professional | 55 · Aftercare only | $1.12 | $1.23 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.81 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.76 | $0.81 | $0.87 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Where Louisiana sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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· 49th of 51
$8.71
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.