How much rates vary
Facilitymedian $490 · 10th to 90th $234 to $2,291Professionalmedian $1,122 · 10th to 90th $813 to $1,445
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 $1,000.00 Median $1,202.26 Typical High $1,230.27 | Facility | None | $1,000.00 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,148.15 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,318.26 | Professional | None | $933.25 | $1,318.26 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,258.93 | $1,258.93 |
Christus Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,621.81 | Facility | None | $524.81 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,318.26 | Professional | None | $602.56 | $831.76 | $1,318.26 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,445.44 | Professional | None | $870.96 | $1,122.02 | $1,445.44 |
2 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 $501.19 Median $549.54 Typical High $616.60 | Professional | 52 · Reduced service | $501.19 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $199.53 | $218.78 | $245.47 |
Where Louisiana sits
The same service costs 10.3 times more in Maine than in Arkansas. 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.