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 $3.39 Median $4.17 Typical High $11.48 | Facility | None | $3.39 | $4.17 | $11.48 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.70 Median $2.19 Typical High $8.13 | Facility | 52 · Reduced service | $1.70 | $2.19 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $6.31 | Professional | None | $2.51 | $3.80 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.91 Typical High $2.04 | Professional | 52 · Reduced service | $1.70 | $1.91 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $1.35 Median $2.19 Typical High $5.25 | Professional | None | $1.35 | $2.19 | $5.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3.98 Median $6.17 Typical High $12.02 | Facility | None | $3.98 | $6.17 | $12.02 |
BCBS Louisiana Setting Professional Modifier None Typical Low $2.63 Median $3.47 Typical High $4.79 | Professional | None | $2.63 | $3.47 | $4.79 |
Christus Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | None | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.61 Typical High $19.05 | Facility | None | $3.39 | $6.61 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $2.14 Typical High $3.72 | Professional | None | $1.51 | $2.14 | $3.72 |
United Setting Facility Modifier None Typical Low $1.32 Median $2.82 Typical High $3.16 | Facility | None | $1.32 | $2.82 | $3.16 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $5.37 | Professional | None | $1.91 | $2.63 | $5.37 |
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 Facility Modifier 53 · Discontinued Typical Low $0.68 Median $0.87 Typical High $3.24 | Facility | 53 · Discontinued | $0.68 | $0.87 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.76 Typical High $0.81 | Professional | 53 · Discontinued | $0.62 | $0.76 | $0.81 |
Where Louisiana sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 29th of 51
$3.47
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.