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 $891.25 Median $1,148.15 Typical High $4,265.80 | Facility | None | $891.25 | $1,148.15 | $4,265.80 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $446.68 Median $575.44 Typical High $2,137.96 | Facility | 52 · Reduced service | $446.68 | $575.44 | $2,137.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $851.14 | Facility | 53 · Discontinued | $177.83 | $229.09 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,096.48 | Professional | None | $812.83 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $199.53 | $218.78 |
BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $2,344.23 | Facility | None | $851.14 | $1,513.56 | $2,344.23 |
BCBS Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $977.24 | Professional | None | $154.88 | $229.09 | $977.24 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $2,041.74 Typical High $2,754.23 | Facility | None | $912.01 | $2,041.74 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $794.33 Typical High $1,230.27 | Professional | None | $371.54 | $794.33 | $1,230.27 |
United Setting Facility Modifier None Typical Low $354.81 Median $758.58 Typical High $831.76 | Facility | None | $354.81 | $758.58 | $831.76 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $891.25 | Professional | None | $245.47 | $354.81 | $891.25 |
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 $524.81 Median $524.81 Typical High $524.81 | Professional | 90 · Outside lab | $524.81 | $524.81 | $524.81 |
Where Louisiana sits
The same service costs 5.4 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· 14th of 51
$851
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.