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 $9.12 Median $11.75 Typical High $31.62 | Facility | None | $9.12 | $11.75 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $13.80 | Professional | None | $6.92 | $10.47 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $8.71 Typical High $14.13 | Professional | None | $4.27 | $8.71 | $14.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $8.91 Median $15.49 Typical High $25.70 | Facility | None | $8.91 | $15.49 | $25.70 |
BCBS Louisiana Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $9.55 | Professional | None | $6.46 | $9.55 | $9.55 |
Christus Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $18.20 Typical High $38.90 | Facility | None | $7.76 | $18.20 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $10.00 | Professional | None | $3.89 | $4.37 | $10.00 |
United Setting Facility Modifier None Typical Low $3.63 Median $7.76 Typical High $8.71 | Facility | None | $3.63 | $7.76 | $8.71 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $9.77 | Professional | None | $4.07 | $5.25 | $9.77 |
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 Facility Modifier 52 · Reduced service Typical Low $4.57 Median $5.89 Typical High $21.88 | Facility | 52 · Reduced service | $4.57 | $5.89 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $2.34 Typical High $8.91 | Facility | 53 · Discontinued | $1.82 | $2.34 | $8.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $5.25 Typical High $5.62 | Professional | 52 · Reduced service | $4.57 | $5.25 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.09 Typical High $2.24 | Professional | 53 · Discontinued | $1.82 | $2.09 | $2.24 |
Where Louisiana sits
The same service costs 15.8 times more in Minnesota 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· 13th of 51
$10.96
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.