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 $28.84 Median $34.67 Typical High $53.70 | Facility | None | $28.84 | $34.67 | $53.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $19.95 Typical High $31.62 | Facility | 52 · Reduced service | $14.45 | $19.95 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $8.13 Typical High $12.59 | Facility | 53 · Discontinued | $5.75 | $8.13 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $60.26 | Professional | None | $28.84 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $19.50 Typical High $31.62 | Professional | 52 · Reduced service | $14.45 | $19.50 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.76 Typical High $12.59 | Professional | 53 · Discontinued | $5.75 | $7.76 | $12.59 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $42.66 Typical High $48.98 | Professional | None | $18.20 | $42.66 | $48.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $23.44 Median $41.69 Typical High $64.57 | Facility | None | $23.44 | $41.69 | $64.57 |
BCBS Louisiana Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $48.98 | Professional | None | $28.18 | $32.36 | $48.98 |
Christus Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $47.86 | Professional | None | $28.18 | $47.86 | $47.86 |
United Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier None Typical Low $24.55 Median $42.66 Typical High $53.70 | Professional | None | $24.55 | $42.66 | $53.70 |
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 $53.70 Median $58.88 Typical High $70.79 | Facility | AF · Specialist physician | $53.70 | $58.88 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $39.81 Median $43.65 Typical High $52.48 | Facility | HO · Master's level | $39.81 | $43.65 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $44.67 Median $50.12 Typical High $60.26 | Facility | TD · Registered nurse | $44.67 | $50.12 | $60.26 |
Where Louisiana sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 21st of 51
$42.66
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.