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 $53.70 Median $70.79 Typical High $91.20 | Facility | None | $53.70 | $70.79 | $91.20 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $38.02 Typical High $45.71 | Facility | 52 · Reduced service | $33.88 | $38.02 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $18.20 | Facility | 53 · Discontinued | $13.49 | $15.14 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $85.11 | Professional | None | $53.70 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $36.31 Typical High $45.71 | Professional | 52 · Reduced service | $33.88 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $14.45 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | None | $45.71 | $45.71 | $60.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $141.25 Typical High $269.15 | Facility | None | $0.02 | $141.25 | $269.15 |
BCBS Louisiana Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $72.44 | Professional | None | $66.07 | $67.61 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $79.43 | Professional | None | $41.69 | $52.48 | $79.43 |
United Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $104.71 | Professional | None | $47.86 | $61.66 | $104.71 |
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 $70.79 Median $77.62 Typical High $95.50 | Facility | AF · Specialist physician | $70.79 | $77.62 | $95.50 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $53.70 Median $58.88 Typical High $70.79 | Facility | HO · Master's level | $53.70 | $58.88 | $70.79 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $60.26 Median $66.07 Typical High $81.28 | Facility | TD · Registered nurse | $60.26 | $66.07 | $81.28 |
Where Louisiana sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 11th of 51
$67.61
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.