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 $18.20 Median $23.44 Typical High $87.10 | Facility | None | $18.20 | $23.44 | $87.10 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.12 Median $11.75 Typical High $43.65 | Facility | 52 · Reduced service | $9.12 | $11.75 | $43.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $4.68 Typical High $17.78 | Facility | 53 · Discontinued | $3.63 | $4.68 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $22.39 | Professional | None | $16.22 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $10.47 Typical High $11.22 | Professional | 52 · Reduced service | $9.12 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.17 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $4.17 | $4.47 |
BCBS Louisiana Setting Facility Modifier None Typical Low $21.38 Median $34.67 Typical High $64.57 | Facility | None | $21.38 | $34.67 | $64.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $25.70 | Professional | None | $14.45 | $19.05 | $25.70 |
Christus Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $37.15 Typical High $104.71 | Facility | None | $18.62 | $37.15 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $19.95 | Professional | None | $7.94 | $11.48 | $19.95 |
United Setting Facility Modifier None Typical Low $7.24 Median $15.49 Typical High $17.38 | Facility | None | $7.24 | $15.49 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $25.12 | Professional | None | $7.24 | $10.00 | $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 90 · Outside lab Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 90 · Outside lab | $12.02 | $12.02 | $12.02 |
Where Louisiana sits
The same service costs 3.3 times more in Kansas 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· 12th of 51
$20.42
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.