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 $12.30 Median $15.14 Typical High $87.10 | Facility | None | $12.30 | $15.14 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $18.20 | Professional | None | $12.30 | $14.79 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $27.54 | Professional | None | $12.02 | $17.38 | $27.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $22.91 Median $40.74 Typical High $69.18 | Facility | None | $22.91 | $40.74 | $69.18 |
BCBS Louisiana Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $12.88 | Professional | None | $10.00 | $12.30 | $12.88 |
Christus Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $16.60 | Professional | None | $9.33 | $11.75 | $16.60 |
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 $9.55 Median $12.30 Typical High $19.50 | Professional | None | $9.55 | $12.30 | $19.50 |
1 more rate 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 25 · Same-day visit Typical Low $17.38 Median $19.50 Typical High $23.99 | Professional | 25 · Same-day visit | $17.38 | $19.50 | $23.99 |
Where Louisiana sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 36th of 51
$12.88
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.