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 $147.91 Median $147.91 Typical High $158.49 | Facility | None | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $173.78 | Professional | None | $147.91 | $158.49 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $257.04 | Professional | None | $208.93 | $239.88 | $257.04 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $588.84 | Facility | None | $239.88 | $416.87 | $588.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | None | $104.71 | $104.71 | $141.25 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Facility | None | $281.84 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $190.55 | Professional | None | $81.28 | $131.83 | $190.55 |
4 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 $74.13 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $74.13 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $34.67 | Professional | 53 · Discontinued | $29.51 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.99 Typical High $25.70 | Professional | 55 · Aftercare only | $22.39 | $23.99 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.85 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.79 | $15.85 | $17.38 |
Where Louisiana sits
The same service costs 2.2 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· 27th of 51
$174
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.