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 $151.36 Median $194.98 Typical High $741.31 | Facility | None | $151.36 | $194.98 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $186.21 | Professional | None | $109.65 | $151.36 | $186.21 |
BCBS Louisiana Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $363.08 | Facility | None | $102.33 | $239.88 | $363.08 |
BCBS Louisiana Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $177.83 | Professional | None | $109.65 | $177.83 | $177.83 |
Christus Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $758.58 | Facility | None | $158.49 | $354.81 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $331.13 | Professional | None | $79.43 | $173.78 | $331.13 |
United Setting Facility Modifier None Typical Low $60.26 Median $128.82 Typical High $144.54 | Facility | None | $60.26 | $128.82 | $144.54 |
United Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $199.53 | Professional | None | $53.70 | $109.65 | $199.53 |
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 $75.86 Median $97.72 Typical High $371.54 | Facility | 52 · Reduced service | $75.86 | $97.72 | $371.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $38.90 Typical High $147.91 | Facility | 53 · Discontinued | $30.20 | $38.90 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $30.20 | $30.20 | $37.15 |
Where Louisiana sits
The same service costs 5.6 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· 35th of 51
$151
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.