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 $13.49 Median $13.49 Typical High $20.42 | Facility | None | $13.49 | $13.49 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $20.89 | Professional | None | $13.49 | $14.45 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | None | $22.91 | $25.70 | $25.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $53.70 | Facility | None | $21.88 | $38.02 | $53.70 |
BCBS Louisiana Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Christus Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | None | $12.02 | $12.02 | $16.22 |
United Setting Facility Modifier None Typical Low $12.88 Median $31.62 Typical High $31.62 | Facility | None | $12.88 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.75 Typical High $17.38 | Professional | None | $7.76 | $11.75 | $17.38 |
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 $6.76 Median $7.08 Typical High $10.47 | Professional | 52 · Reduced service | $6.76 | $7.08 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.88 Typical High $4.17 | Professional | 53 · Discontinued | $2.69 | $2.88 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.14 Typical High $3.09 | Professional | 55 · Aftercare only | $2.04 | $2.14 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.45 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.35 | $1.45 | $2.09 |
Where Louisiana sits
The same service costs 3.0 times more in Hawaii 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· 28th of 51
$17.38
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.