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 $40.74 Median $51.29 Typical High $186.21 | Facility | None | $40.74 | $51.29 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $50.12 | Professional | None | $37.15 | $46.77 | $50.12 |
BCBS Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $120.23 | Facility | None | $42.66 | $74.13 | $120.23 |
BCBS Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | None | $28.84 | $42.66 | $42.66 |
Christus Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $77.62 Typical High $177.83 | Facility | None | $43.65 | $77.62 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $36.31 Typical High $54.95 | Professional | None | $18.20 | $36.31 | $54.95 |
United Setting Facility Modifier None Typical Low $16.22 Median $34.67 Typical High $38.90 | Facility | None | $16.22 | $34.67 | $38.90 |
United Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $38.90 | Professional | None | $13.49 | $16.22 | $38.90 |
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 $20.89 Median $20.89 Typical High $23.99 | Professional | 90 · Outside lab | $20.89 | $20.89 | $23.99 |
Where Louisiana sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 7th of 51
$52.48
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.