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 $23.44 Median $28.84 Typical High $95.50 | Facility | None | $23.44 | $28.84 | $95.50 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $11.75 Median $15.14 Typical High $56.23 | Facility | 52 · Reduced service | $11.75 | $15.14 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $6.03 Typical High $22.39 | Facility | 53 · Discontinued | $4.68 | $6.03 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $28.84 | Professional | None | $20.89 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $13.18 Typical High $14.45 | Professional | 52 · Reduced service | $11.75 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $5.37 | $5.75 |
BCBS Setting Facility Modifier None Typical Low $27.54 Median $44.67 Typical High $83.18 | Facility | None | $27.54 | $44.67 | $83.18 |
BCBS Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $33.11 | Professional | None | $18.20 | $23.99 | $33.11 |
Christus Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $47.86 Typical High $131.83 | Facility | None | $23.99 | $47.86 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $25.12 | Professional | None | $10.23 | $14.79 | $25.12 |
United Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $21.88 | Facility | None | $9.33 | $19.95 | $21.88 |
United Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $30.20 | Professional | None | $9.33 | $12.88 | $30.20 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | 90 · Outside lab | $13.18 | $13.18 | $13.18 |
Where Louisiana sits
The same service costs 13.5 times more in Vermont 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· 13th of 51
$30.90
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.