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 $48.98 Median $48.98 Typical High $74.13 | Facility | None | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $75.86 | Professional | None | $48.98 | $52.48 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $79.43 Median $138.04 Typical High $194.98 | Facility | None | $79.43 | $138.04 | $194.98 |
BCBS Louisiana Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Christus Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | None | $37.15 | $37.15 | $50.12 |
United Setting Facility Modifier None Typical Low $44.67 Median $109.65 Typical High $109.65 | Facility | None | $44.67 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $60.26 | Professional | None | $26.92 | $43.65 | $60.26 |
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 $24.55 Median $26.30 Typical High $38.02 | Professional | 52 · Reduced service | $24.55 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $15.14 | Professional | 53 · Discontinued | $9.77 | $10.47 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.76 Typical High $11.48 | Professional | 55 · Aftercare only | $7.41 | $7.76 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.25 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.90 | $5.25 | $7.59 |
Where Louisiana sits
The same service costs 2.8 times more in Kansas than in Delaware. 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· 22nd 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.