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 $51.29 Median $51.29 Typical High $54.95 | Facility | None | $51.29 | $51.29 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | None | $51.29 | $54.95 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | None | $87.10 | $87.10 | $100.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $204.17 | Facility | None | $83.18 | $144.54 | $204.17 |
BCBS Louisiana Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Christus Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Facility | None | $60.26 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | None | $44.67 | $44.67 | $61.66 |
United Setting Facility Modifier None Typical Low $72.44 Median $131.83 Typical High $131.83 | Facility | None | $72.44 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $75.86 | Professional | None | $31.62 | $47.86 | $75.86 |
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 $25.70 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.96 Typical High $12.02 | Professional | 53 · Discontinued | $10.47 | $10.96 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.32 Typical High $8.91 | Professional | 55 · Aftercare only | $7.76 | $8.32 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.50 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.13 | $5.50 | $6.03 |
Where Louisiana sits
The same service costs 2.1 times more in Wisconsin than in New Jersey. 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· 34th of 51
$60.26
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.