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 $89.13 Typical High $95.50 | Facility | None | $77.62 | $89.13 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $102.33 | Professional | None | $70.79 | $89.13 | $102.33 |
BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $173.78 | Professional | None | $69.18 | $89.13 | $173.78 |
United Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $131.83 | Professional | None | $67.61 | $95.50 | $131.83 |
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 $91.20 Median $93.33 Typical High $102.33 | Facility | AF · Specialist physician | $91.20 | $93.33 | $102.33 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $69.18 Median $70.79 Typical High $77.62 | Facility | HO · Master's level | $69.18 | $70.79 | $77.62 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $79.43 Typical High $87.10 | Facility | TD · Registered nurse | $77.62 | $79.43 | $87.10 |
Where Louisiana sits
The same service costs 2.7 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· 42nd of 51
$87.10
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.