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 $21.38 Median $28.18 Typical High $97.72 | Facility | None | $21.38 | $28.18 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $30.20 | Professional | None | $21.38 | $23.44 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $12.59 | Professional | None | $9.55 | $12.59 | $12.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $66.07 | Facility | None | $20.89 | $38.90 | $66.07 |
BCBS Louisiana Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | None | $25.12 | $25.12 | $28.18 |
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 $22.91 Median $56.23 Typical High $123.03 | Facility | None | $22.91 | $56.23 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $28.18 Typical High $52.48 | Professional | None | $12.59 | $28.18 | $52.48 |
United Setting Facility Modifier None Typical Low $8.51 Median $18.20 Typical High $20.42 | Facility | None | $8.51 | $18.20 | $20.42 |
United Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $36.31 | Professional | None | $11.48 | $20.42 | $36.31 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.72 Median $13.80 Typical High $51.29 | Facility | 52 · Reduced service | $10.72 | $13.80 | $51.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $5.50 Typical High $20.89 | Facility | 53 · Discontinued | $4.27 | $5.50 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 52 · Reduced service | $10.72 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.25 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.25 |
Where Louisiana sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 30th of 51
$25.12
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.