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 $9.55 Median $11.48 Typical High $15.49 | Facility | None | $9.55 | $11.48 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $12.59 | Professional | None | $9.55 | $10.00 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $5.01 Typical High $6.31 | Professional | 52 · Reduced service | $4.79 | $5.01 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.04 Typical High $2.51 | Professional | 53 · Discontinued | $1.95 | $2.04 | $2.51 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $18.20 Typical High $21.38 | Professional | None | $8.13 | $18.20 | $21.38 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $33.88 Typical High $70.79 | Facility | None | $0.02 | $33.88 | $70.79 |
BCBS Louisiana Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $13.80 | Professional | None | $7.41 | $8.71 | $13.80 |
Christus Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $16.22 | Professional | None | $6.46 | $10.96 | $16.22 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.51 Typical High $15.14 | Professional | None | $6.92 | $8.51 | $15.14 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 59 · Distinct service | $10.00 | $10.00 | $10.00 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $9.55 Median $21.38 Typical High $21.38 | Professional | 76 · Repeat, same provider | $9.55 | $21.38 | $21.38 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | XU · Unusual separate service | $11.22 | $11.22 | $13.18 |
Where Louisiana sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 35th of 51
$9.77
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.