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 $15.14 Median $18.62 Typical High $67.61 | Facility | None | $15.14 | $18.62 | $67.61 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $7.41 Median $9.55 Typical High $36.31 | Facility | 52 · Reduced service | $7.41 | $9.55 | $36.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.02 Median $3.89 Typical High $14.45 | Facility | 53 · Discontinued | $3.02 | $3.89 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $18.20 | Professional | None | $12.88 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $8.51 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.39 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.39 | $3.63 |
BCBS Louisiana Setting Facility Modifier None Typical Low $7.08 Median $18.62 Typical High $36.31 | Facility | None | $7.08 | $18.62 | $36.31 |
BCBS Louisiana Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $15.49 | Professional | None | $11.48 | $15.49 | $15.49 |
Christus Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $30.20 Typical High $85.11 | Facility | None | $15.49 | $30.20 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $9.55 Typical High $16.60 | Professional | None | $6.61 | $9.55 | $16.60 |
United Setting Facility Modifier None Typical Low $5.89 Median $12.59 Typical High $14.13 | Facility | None | $5.89 | $12.59 | $14.13 |
United Setting Professional Modifier None Typical Low $2.75 Median $5.89 Typical High $15.14 | Professional | None | $2.75 | $5.89 | $15.14 |
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 $8.51 Median $8.51 Typical High $9.77 | Professional | 90 · Outside lab | $8.51 | $8.51 | $9.77 |
Where Louisiana sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 16th of 51
$16.98
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.