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 $275.42 Median $275.42 Typical High $416.87 | Facility | None | $275.42 | $275.42 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $426.58 | Professional | None | $275.42 | $295.12 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $512.86 | Professional | None | $380.19 | $512.86 | $512.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $1,096.48 | Facility | None | $446.68 | $776.25 | $1,096.48 |
BCBS Louisiana Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Christus Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
United Setting Facility Modifier None Typical Low $190.55 Median $512.86 Typical High $512.86 | Facility | None | $190.55 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $125.89 Median $239.88 Typical High $288.40 | Professional | None | $125.89 | $239.88 | $288.40 |
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 $138.04 Median $144.54 Typical High $213.80 | Professional | 52 · Reduced service | $138.04 | $144.54 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $85.11 | Professional | 53 · Discontinued | $54.95 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $43.65 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | 56 · Pre-op care only | $27.54 | $29.51 | $42.66 |
Where Louisiana sits
The same service costs 2.5 times more in Kansas 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· 21st of 51
$295
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.