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 $1.86 Median $2.29 Typical High $2.69 | Facility | None | $1.86 | $2.29 | $2.69 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1.26 Median $1.26 Typical High $1.58 | Facility | 52 · Reduced service | $1.26 | $1.26 | $1.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.50 Median $0.51 Typical High $0.65 | Facility | 53 · Discontinued | $0.50 | $0.51 | $0.65 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.24 Typical High $2.82 | Professional | None | $1.86 | $2.24 | $2.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.26 Typical High $1.58 | Professional | 52 · Reduced service | $1.23 | $1.26 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.51 Typical High $0.65 | Professional | 53 · Discontinued | $0.49 | $0.51 | $0.65 |
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 $1.78 Median $1.78 Typical High $2.63 | Professional | None | $1.78 | $1.78 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $5.01 Typical High $5.01 | Professional | None | $2.00 | $5.01 | $5.01 |
United Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $81.28 | Facility | None | $33.11 | $43.65 | $81.28 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.34 Typical High $2.82 | Professional | None | $1.91 | $2.34 | $2.82 |
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 $2.51 Median $2.69 Typical High $3.16 | Facility | AF · Specialist physician | $2.51 | $2.69 | $3.16 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $1.86 Median $2.04 Typical High $2.40 | Facility | HO · Master's level | $1.86 | $2.04 | $2.40 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $2.14 Median $2.29 Typical High $2.69 | Facility | TD · Registered nurse | $2.14 | $2.29 | $2.69 |
Where Louisiana sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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
$2.24
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.