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 $40.74 Median $50.12 Typical High $181.97 | Facility | None | $40.74 | $50.12 | $181.97 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.42 Median $26.30 Typical High $97.72 | Facility | 52 · Reduced service | $20.42 | $26.30 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $10.47 Typical High $39.81 | Facility | 53 · Discontinued | $8.13 | $10.47 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $77.62 | Professional | None | $36.31 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $8.13 | $9.33 | $10.00 |
BCBS Louisiana Setting Facility Modifier None Typical Low $47.86 Median $79.43 Typical High $144.54 | Facility | None | $47.86 | $79.43 | $144.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $57.54 | Professional | None | $32.36 | $42.66 | $57.54 |
Christus Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $83.18 Typical High $234.42 | Facility | None | $41.69 | $83.18 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $44.67 | Professional | None | $18.20 | $25.70 | $44.67 |
United Setting Facility Modifier None Typical Low $16.22 Median $34.67 Typical High $38.90 | Facility | None | $16.22 | $34.67 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $52.48 | Professional | None | $16.22 | $22.39 | $52.48 |
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 $22.91 Median $22.91 Typical High $22.91 | Professional | 90 · Outside lab | $22.91 | $22.91 | $22.91 |
Where Louisiana sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 24th of 51
$41.69
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.