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 $14.13 Median $17.38 Typical High $63.10 | Facility | None | $14.13 | $17.38 | $63.10 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.08 Median $9.12 Typical High $33.88 | Facility | 52 · Reduced service | $7.08 | $9.12 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.82 Median $3.63 Typical High $13.49 | Facility | 53 · Discontinued | $2.82 | $3.63 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $17.38 | Professional | None | $12.59 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.94 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $7.94 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.24 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.24 | $3.47 |
BCBS Louisiana Setting Facility Modifier None Typical Low $13.49 Median $26.92 Typical High $43.65 | Facility | None | $13.49 | $26.92 | $43.65 |
BCBS Louisiana Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $19.95 | Professional | None | $10.96 | $14.45 | $19.95 |
Christus Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $28.84 Typical High $81.28 | Facility | None | $14.13 | $28.84 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $15.14 | Professional | None | $6.17 | $8.32 | $15.14 |
United Setting Facility Modifier None Typical Low $5.62 Median $12.02 Typical High $13.18 | Facility | None | $5.62 | $12.02 | $13.18 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $22.39 | Professional | None | $5.62 | $7.59 | $22.39 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 90 · Outside lab | $4.47 | $4.47 | $4.47 |
Where Louisiana sits
The same service costs 3.4 times more in Alaska than in Georgia. 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
$14.13
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.