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 $117.49 Median $134.90 Typical High $162.18 | Facility | None | $117.49 | $134.90 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $162.18 | Professional | None | $117.49 | $134.90 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $263.03 | Professional | None | $134.90 | $194.98 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $354.81 | Facility | None | $138.04 | $245.47 | $354.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Professional | None | $138.04 | $138.04 | $194.98 |
Christus Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $190.55 | Professional | None | $64.57 | $64.57 | $190.55 |
United Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $489.78 | Facility | None | $204.17 | $269.15 | $489.78 |
United Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
7 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 $158.49 Median $158.49 Typical High $162.18 | Facility | AF · Specialist physician | $158.49 | $158.49 | $162.18 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $117.49 Median $117.49 Typical High $120.23 | Facility | HO · Master's level | $117.49 | $117.49 | $120.23 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | TD · Registered nurse | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | 59 · Distinct service | $218.78 | $218.78 | $257.04 |
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | AF · Specialist physician | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier HP · Doctoral level Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | HP · Doctoral level | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $134.90 Median $165.96 Typical High $169.82 | Professional | SA · Nurse practitioner | $134.90 | $165.96 | $169.82 |
Where Louisiana sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 43rd of 51
$145
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.