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 $12.88 Median $15.85 Typical High $56.23 | Facility | None | $12.88 | $15.85 | $56.23 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $8.32 Typical High $30.90 | Facility | 52 · Reduced service | $6.46 | $8.32 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $3.31 Typical High $12.30 | Facility | 53 · Discontinued | $2.51 | $3.31 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $15.85 | Professional | None | $10.96 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.24 Typical High $7.76 | Professional | 52 · Reduced service | $6.46 | $7.24 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.95 Typical High $3.16 | Professional | 53 · Discontinued | $2.51 | $2.95 | $3.16 |
BCBS Louisiana Setting Facility Modifier None Typical Low $13.18 Median $23.44 Typical High $38.02 | Facility | None | $13.18 | $23.44 | $38.02 |
BCBS Louisiana Setting Professional Modifier None Typical Low $9.12 Median $13.18 Typical High $13.18 | Professional | None | $9.12 | $13.18 | $13.18 |
Christus Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $25.12 Typical High $93.33 | Facility | None | $9.77 | $25.12 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $15.85 | Professional | None | $5.25 | $5.25 | $15.85 |
United Setting Facility Modifier None Typical Low $5.01 Median $10.96 Typical High $12.02 | Facility | None | $5.01 | $10.96 | $12.02 |
United Setting Professional Modifier None Typical Low $4.79 Median $5.25 Typical High $12.02 | Professional | None | $4.79 | $5.25 | $12.02 |
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 $6.46 Median $6.46 Typical High $7.59 | Professional | 90 · Outside lab | $6.46 | $6.46 | $7.59 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 18th of 51
$12.30
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.