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 $29.51 Median $38.90 Typical High $144.54 | Facility | None | $29.51 | $38.90 | $144.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $14.79 Median $19.05 Typical High $70.79 | Facility | 52 · Reduced service | $14.79 | $19.05 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $7.59 Typical High $28.84 | Facility | 53 · Discontinued | $5.89 | $7.59 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $36.31 | Professional | None | $26.92 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | 52 · Reduced service | $14.79 | $16.98 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $7.24 | Professional | 53 · Discontinued | $5.89 | $6.76 | $7.24 |
BCBS Louisiana Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $87.10 | Facility | None | $30.90 | $53.70 | $87.10 |
BCBS Louisiana Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $30.90 | Professional | None | $20.89 | $30.90 | $30.90 |
Christus Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $53.70 Typical High $128.82 | Facility | None | $12.59 | $53.70 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $31.62 | Professional | None | $12.59 | $14.13 | $31.62 |
United Setting Facility Modifier None Typical Low $11.75 Median $25.12 Typical High $28.18 | Facility | None | $11.75 | $25.12 | $28.18 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $28.18 | Professional | None | $11.22 | $12.02 | $28.18 |
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 $15.14 Median $15.14 Typical High $17.38 | Professional | 90 · Outside lab | $15.14 | $15.14 | $17.38 |
Where Louisiana sits
The same service costs 3.8 times more in Alaska 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· 13th of 51
$29.51
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.