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 $52.48 Median $60.26 Typical High $83.18 | Facility | None | $52.48 | $60.26 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $70.79 | Professional | None | $52.48 | $60.26 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $63.10 Typical High $79.43 | Professional | None | $18.62 | $63.10 | $79.43 |
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 $53.70 Median $53.70 Typical High $77.62 | Professional | None | $53.70 | $53.70 | $77.62 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $77.62 | Professional | None | $34.67 | $38.90 | $77.62 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
5 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 $69.18 Median $69.18 Typical High $77.62 | Facility | AF · Specialist physician | $69.18 | $69.18 | $77.62 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | HO · Master's level | $52.48 | $52.48 | $57.54 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $58.88 Median $58.88 Typical High $64.57 | Facility | TD · Registered nurse | $58.88 | $58.88 | $64.57 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | HO · Master's level | $51.29 | $51.29 | $60.26 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | SA · Nurse practitioner | $63.10 | $63.10 | $63.10 |
Where Louisiana sits
The same service costs 1.9 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· 47th of 51
$56.23
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.