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 $28.18 Median $36.31 Typical High $128.82 | Facility | None | $28.18 | $36.31 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $41.69 | Professional | None | $26.30 | $29.51 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $26.92 | Professional | None | $11.22 | $12.30 | $26.92 |
BCBS Louisiana Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $87.10 | Facility | None | $27.54 | $48.98 | $87.10 |
BCBS Louisiana Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $37.15 | Professional | None | $31.62 | $33.11 | $37.15 |
Christus Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $74.13 Typical High $158.49 | Facility | None | $30.20 | $74.13 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $36.31 Typical High $95.50 | Professional | None | $16.60 | $36.31 | $95.50 |
United Setting Facility Modifier None Typical Low $11.22 Median $23.99 Typical High $26.92 | Facility | None | $11.22 | $23.99 | $26.92 |
United Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $46.77 | Professional | None | $15.49 | $26.92 | $46.77 |
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 $14.13 Median $18.20 Typical High $67.61 | Facility | 52 · Reduced service | $14.13 | $18.20 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $7.24 Typical High $27.54 | Facility | 53 · Discontinued | $5.62 | $7.24 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.92 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska 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· 28th of 51
$32.36
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.