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 $8.71 Median $10.72 Typical High $38.02 | Facility | None | $8.71 | $10.72 | $38.02 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $4.37 Median $5.62 Typical High $20.89 | Facility | 52 · Reduced service | $4.37 | $5.62 | $20.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.74 Median $2.24 Typical High $8.32 | Facility | 53 · Discontinued | $1.74 | $2.24 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $10.72 | Professional | None | $7.76 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.90 Typical High $5.37 | Professional | 52 · Reduced service | $4.37 | $4.90 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.00 Typical High $2.14 | Professional | 53 · Discontinued | $1.74 | $2.00 | $2.14 |
BCBS Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $30.90 | Facility | None | $10.23 | $16.60 | $30.90 |
BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $12.30 | Professional | None | $6.76 | $8.91 | $12.30 |
Christus Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $17.38 Typical High $48.98 | Facility | None | $8.91 | $17.38 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.50 Typical High $9.55 | Professional | None | $3.80 | $5.50 | $9.55 |
United Setting Facility Modifier None Typical Low $3.47 Median $7.41 Typical High $8.13 | Facility | None | $3.47 | $7.41 | $8.13 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $11.48 | Professional | None | $4.17 | $6.92 | $11.48 |
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 $4.90 Median $4.90 Typical High $5.62 | Professional | 90 · Outside lab | $4.90 | $4.90 | $5.62 |
Where Louisiana sits
The same service costs 7.1 times more in Minnesota than in Indiana. 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
$12.02
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.