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 $77.62 Median $85.11 Typical High $323.59 | Facility | None | $77.62 | $85.11 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $72.44 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $36.31 | $38.90 | $39.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $251.19 | Facility | None | $83.18 | $158.49 | $251.19 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $81.28 | Professional | None (both parts) | $54.95 | $66.07 | $81.28 |
Christus Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $45.71 | $47.86 | $95.50 |
United Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $97.72 | Facility | None | $77.62 | $97.72 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $56.23 | $74.13 | $87.10 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $69.18 Median $93.33 Typical High $93.33 | Professional | GP · Physical therapy plan | $69.18 | $93.33 | $93.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 40th of 51
$75.86
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.