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 $5.37 Median $6.76 Typical High $24.55 | Facility | None | $5.37 | $6.76 | $24.55 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.69 Median $3.47 Typical High $12.88 | Facility | 52 · Reduced service | $2.69 | $3.47 | $12.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.07 Median $1.38 Typical High $5.13 | Facility | 53 · Discontinued | $1.07 | $1.38 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $6.03 Typical High $6.61 | Professional | None | $4.07 | $6.03 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.69 Median $3.09 Typical High $3.31 | Professional | 52 · Reduced service | $2.69 | $3.09 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.23 Typical High $1.32 | Professional | 53 · Discontinued | $1.07 | $1.23 | $1.32 |
BCBS Louisiana Setting Facility Modifier None Typical Low $6.31 Median $10.00 Typical High $18.20 | Facility | None | $6.31 | $10.00 | $18.20 |
BCBS Louisiana Setting Professional Modifier None Typical Low $4.07 Median $5.62 Typical High $7.24 | Professional | None | $4.07 | $5.62 | $7.24 |
Christus Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $11.48 Typical High $30.20 | Facility | None | $5.62 | $11.48 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $3.31 Typical High $5.75 | Professional | None | $2.40 | $3.31 | $5.75 |
United Setting Facility Modifier None Typical Low $2.14 Median $4.57 Typical High $5.01 | Facility | None | $2.14 | $4.57 | $5.01 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.82 Typical High $6.46 | Professional | None | $2.09 | $2.82 | $6.46 |
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 $1.70 Median $1.70 Typical High $1.70 | Professional | 90 · Outside lab | $1.70 | $1.70 | $1.70 |
Where Louisiana sits
The same service costs 9.3 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· 26th of 51
$5.37
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.