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 $52.48 Median $67.61 Typical High $72.44 | Facility | None | $52.48 | $67.61 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $77.62 | Professional | None | $52.48 | $67.61 | $77.62 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $120.23 | Professional | None | $47.86 | $61.66 | $120.23 |
United Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $100.00 | Professional | None | $51.29 | $67.61 | $100.00 |
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 $69.18 Median $70.79 Typical High $77.62 | Facility | AF · Specialist physician | $69.18 | $70.79 | $77.62 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $52.48 Median $53.70 Typical High $58.88 | Facility | HO · Master's level | $52.48 | $53.70 | $58.88 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $58.88 Median $60.26 Typical High $66.07 | Facility | TD · Registered nurse | $58.88 | $60.26 | $66.07 |
Where Louisiana sits
The same service costs 2.5 times more in Alaska than in New Jersey. 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· 34th of 51
$66.07
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.