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 $79.43 Median $91.20 Typical High $123.03 | Facility | None | $79.43 | $91.20 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $107.15 | Professional | None | $79.43 | $91.20 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | None | $79.43 | $93.33 | $123.03 |
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 $70.79 Median $70.79 Typical High $102.33 | Professional | None | $70.79 | $70.79 | $102.33 |
Christus Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $112.20 | Professional | None | $63.10 | $64.57 | $112.20 |
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 $91.20 Median $91.20 Typical High $123.03 | Professional | None | $91.20 | $91.20 | $123.03 |
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 $107.15 Median $107.15 Typical High $117.49 | Facility | AF · Specialist physician | $107.15 | $107.15 | $117.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $79.43 Median $79.43 Typical High $87.10 | Facility | HO · Master's level | $79.43 | $79.43 | $87.10 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $91.20 Median $91.20 Typical High $100.00 | Facility | TD · Registered nurse | $91.20 | $91.20 | $100.00 |
Where Louisiana sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 34th of 51
$91.20
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.