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 $218.78 Median $218.78 Typical High $323.59 | Facility | None | $218.78 | $218.78 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $331.13 | Professional | None | $218.78 | $229.09 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $851.14 | Facility | None | $346.74 | $602.56 | $851.14 |
BCBS Louisiana Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Christus Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Facility | None | $295.12 | $295.12 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
United Setting Facility Modifier None Typical Low $229.09 Median $512.86 Typical High $512.86 | Facility | None | $229.09 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $288.40 | Professional | None | $125.89 | $190.55 | $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 $107.15 Median $114.82 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $66.07 | Professional | 53 · Discontinued | $43.65 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $34.67 Typical High $50.12 | Professional | 55 · Aftercare only | $32.36 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.91 Typical High $33.11 | Professional | 56 · Pre-op care only | $21.88 | $22.91 | $33.11 |
Where Louisiana sits
The same service costs 2.5 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· 35th of 51
$263
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.