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 $11.48 Median $11.75 Typical High $15.14 | Facility | None | $11.48 | $11.75 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $15.49 | Professional | None | $11.48 | $12.88 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $14.45 | Professional | None | $7.08 | $8.71 | $14.45 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.45 | Professional | None | $10.00 | $10.00 | $14.45 |
Christus Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.02 Typical High $14.13 | Professional | None | $2.82 | $3.02 | $14.13 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $14.79 | Professional | None | $11.22 | $11.22 | $14.79 |
3 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 AF · Specialist physician Typical Low $15.14 Median $15.14 Typical High $15.49 | Facility | AF · Specialist physician | $15.14 | $15.14 | $15.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $11.75 | Facility | HO · Master's level | $11.48 | $11.48 | $11.75 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $12.88 Median $12.88 Typical High $13.18 | Facility | TD · Registered nurse | $12.88 | $12.88 | $13.18 |
Where Louisiana sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 36th of 51
$11.48
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.