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 $123.03 Median $162.18 Typical High $562.34 | Facility | None | $123.03 | $162.18 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | None | $123.03 | $123.03 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $100.00 Median $208.93 Typical High $338.84 | Facility | None | $100.00 | $208.93 | $338.84 |
BCBS Louisiana Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $144.54 | Professional | None | $109.65 | $144.54 | $144.54 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $323.59 Typical High $707.95 | Facility | None | $131.83 | $323.59 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $162.18 Typical High $302.00 | Professional | None | $72.44 | $162.18 | $302.00 |
United Setting Facility Modifier None Typical Low $48.98 Median $104.71 Typical High $117.49 | Facility | None | $48.98 | $104.71 | $117.49 |
United Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $177.83 | Professional | None | $53.70 | $100.00 | $177.83 |
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 $61.66 Median $79.43 Typical High $295.12 | Facility | 52 · Reduced service | $61.66 | $79.43 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $120.23 | Facility | 53 · Discontinued | $24.55 | $31.62 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 52 · Reduced service | $61.66 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $24.55 | $24.55 | $30.20 |
Where Louisiana sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 34th of 51
$138
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.