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 $35.48 Median $38.02 Typical High $63.10 | Facility | None | $35.48 | $38.02 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $45.71 | Professional | None (both parts) | $35.48 | $38.02 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $42.66 | $57.54 | $67.61 |
BCBS Louisiana Setting Facility Modifier None Typical Low $57.54 Median $100.00 Typical High $141.25 | Facility | None | $57.54 | $100.00 | $141.25 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $33.11 | $33.11 | $45.71 |
United Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $89.13 | Facility | None | $43.65 | $89.13 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $21.88 | $30.90 | $46.77 |
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 $17.78 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.62 Typical High $6.17 | Professional | 55 · Aftercare only | $5.37 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.80 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.55 | $3.80 | $4.07 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Where Louisiana sits
The same service costs 3.8 times more in Hawaii than in Florida. 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· 30th of 51
$43.65
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.