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 $30.90 Median $36.31 Typical High $47.86 | Facility | None | $30.90 | $36.31 | $47.86 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $26.30 | Facility | 52 · Reduced service | $20.89 | $20.89 | $26.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $10.72 | Facility | 53 · Discontinued | $8.32 | $8.51 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $47.86 | Professional | None | $30.90 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.89 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $20.89 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.51 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $8.51 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $41.69 | Professional | None | $30.20 | $35.48 | $41.69 |
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 $25.12 Median $25.12 Typical High $38.02 | Professional | None | $25.12 | $25.12 | $38.02 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $38.90 Typical High $38.90 | Professional | None | $23.99 | $38.90 | $38.90 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,230.27 | Facility | None | $512.86 | $676.08 | $1,230.27 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $46.77 | Professional | None | $32.36 | $33.88 | $46.77 |
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 $41.69 Median $44.67 Typical High $53.70 | Facility | AF · Specialist physician | $41.69 | $44.67 | $53.70 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $30.90 Median $33.88 Typical High $39.81 | Facility | HO · Master's level | $30.90 | $33.88 | $39.81 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $35.48 Median $38.02 Typical High $45.71 | Facility | TD · Registered nurse | $35.48 | $38.02 | $45.71 |
Where Louisiana sits
The same service costs 2.1 times more in North Dakota 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· 27th of 51
$36.31
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.