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 $11.22 Median $13.80 Typical High $53.70 | Facility | None | $11.22 | $13.80 | $53.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $5.62 Median $7.24 Typical High $26.92 | Facility | 52 · Reduced service | $5.62 | $7.24 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $2.88 Typical High $10.72 | Facility | 53 · Discontinued | $2.24 | $2.88 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $13.80 | Professional | None | $8.32 | $12.59 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.31 Typical High $6.76 | Professional | 52 · Reduced service | $5.62 | $6.31 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.51 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.51 | $2.75 |
BCBS Louisiana Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $33.88 | Facility | None | $11.75 | $19.95 | $33.88 |
BCBS Louisiana Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $12.88 | Professional | None | $7.94 | $11.48 | $12.88 |
Christus Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $22.91 Typical High $57.54 | Facility | None | $11.22 | $22.91 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $12.02 | Professional | None | $4.68 | $6.46 | $12.02 |
United Setting Facility Modifier None Typical Low $4.37 Median $9.33 Typical High $10.47 | Facility | None | $4.37 | $9.33 | $10.47 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.01 Typical High $11.75 | Professional | None | $4.17 | $5.01 | $11.75 |
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 59 · Distinct service Typical Low $5.25 Median $5.25 Typical High $14.79 | Professional | 59 · Distinct service | $5.25 | $5.25 | $14.79 |
Where Louisiana sits
The same service costs 5.6 times more in Minnesota 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· 23rd of 51
$11.22
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.