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 $17.78 Median $22.91 Typical High $79.43 | Facility | None | $17.78 | $22.91 | $79.43 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $8.91 Median $11.48 Typical High $42.66 | Facility | 52 · Reduced service | $8.91 | $11.48 | $42.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.55 Median $4.57 Typical High $16.98 | Facility | 53 · Discontinued | $3.55 | $4.57 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $21.88 | Professional | None | $15.49 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $10.00 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.07 Typical High $4.37 | Professional | 53 · Discontinued | $3.55 | $4.07 | $4.37 |
BCBS Setting Facility Modifier None Typical Low $20.89 Median $33.88 Typical High $63.10 | Facility | None | $20.89 | $33.88 | $63.10 |
BCBS Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $25.12 | Professional | None | $13.80 | $18.20 | $25.12 |
Christus Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $36.31 Typical High $102.33 | Facility | None | $17.78 | $36.31 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $19.50 | Professional | None | $7.94 | $11.22 | $19.50 |
United Setting Facility Modifier None Typical Low $7.08 Median $15.14 Typical High $16.60 | Facility | None | $7.08 | $15.14 | $16.60 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $25.12 | Professional | None | $7.08 | $9.77 | $25.12 |
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 GY · Excluded by law Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | GY · Excluded by law | $11.48 | $11.48 | $11.48 |
Where Louisiana sits
The same service costs 4.3 times more in Alaska than in New Jersey. 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· 22nd of 51
$17.78
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.