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 $24.55 Median $25.70 Typical High $36.31 | Facility | None | $24.55 | $25.70 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $37.15 | Professional | None | $24.55 | $25.70 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $38.90 Median $67.61 Typical High $97.72 | Facility | None | $38.90 | $67.61 | $97.72 |
BCBS Louisiana Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Christus Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
United Setting Facility Modifier None Typical Low $29.51 Median $60.26 Typical High $60.26 | Facility | None | $29.51 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $14.45 Median $21.38 Typical High $33.88 | Professional | None | $14.45 | $21.38 | $33.88 |
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 $12.30 Median $12.88 Typical High $18.62 | Professional | 52 · Reduced service | $12.30 | $12.88 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.13 Typical High $7.41 | Professional | 53 · Discontinued | $4.90 | $5.13 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.89 Typical High $5.62 | Professional | 55 · Aftercare only | $3.63 | $3.89 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.57 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.45 | $2.57 | $3.72 |
Where Louisiana sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$30.20
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.