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 $77.62 Median $87.10 Typical High $102.33 | Facility | None | $77.62 | $87.10 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $89.13 Typical High $104.71 | Professional | None | $77.62 | $89.13 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $89.13 Typical High $120.23 | Professional | None | $81.28 | $89.13 | $120.23 |
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 $67.61 Median $67.61 Typical High $97.72 | Professional | None | $67.61 | $67.61 | $97.72 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | None | $63.10 | $63.10 | $107.15 |
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 $89.13 Median $89.13 Typical High $117.49 | Professional | None | $89.13 | $89.13 | $117.49 |
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 AF · Specialist physician Typical Low $102.33 Median $102.33 Typical High $104.71 | Facility | AF · Specialist physician | $102.33 | $102.33 | $104.71 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | HO · Master's level | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $87.10 Median $87.10 Typical High $89.13 | Facility | TD · Registered nurse | $87.10 | $87.10 | $89.13 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | HO · Master's level | $77.62 | $77.62 | $77.62 |
Where Louisiana sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 30th of 51
$89.13
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.