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 $24.55 Median $25.12 Typical High $28.18 | Facility | None | $24.55 | $25.12 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $31.62 | Professional | None | $23.99 | $25.12 | $31.62 |
BCBS Louisiana Setting Facility Modifier None Typical Low $18.20 Median $34.67 Typical High $91.20 | Facility | None | $18.20 | $34.67 | $91.20 |
BCBS Louisiana Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | None | $21.88 | $21.88 | $23.44 |
Christus Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $27.54 | Professional | None | $17.38 | $21.38 | $27.54 |
United Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $104.71 | Facility | None | $42.66 | $56.23 | $104.71 |
United Setting Professional Modifier None Typical Low $16.60 Median $19.95 Typical High $31.62 | Professional | None | $16.60 | $19.95 | $31.62 |
2 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 Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.62 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.62 |
Where Louisiana sits
The same service costs 2.8 times more in Alaska 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· 48th of 51
$21.88
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.