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 $33.11 Median $35.48 Typical High $38.90 | Facility | None | $33.11 | $35.48 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $38.90 | Professional | None | $27.54 | $33.88 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $54.95 | Professional | None | $25.12 | $28.84 | $54.95 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $91.20 Typical High $158.49 | Facility | None | $0.02 | $91.20 | $158.49 |
BCBS Louisiana Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $30.20 | Professional | None | $26.92 | $28.18 | $30.20 |
Christus Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $45.71 | Professional | None | $22.39 | $28.18 | $45.71 |
United Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | None | $26.30 | $26.30 | $34.67 |
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 $37.15 Median $37.15 Typical High $41.69 | Facility | AF · Specialist physician | $37.15 | $37.15 | $41.69 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $27.54 Median $27.54 Typical High $30.90 | Facility | HO · Master's level | $27.54 | $27.54 | $30.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $31.62 Median $31.62 Typical High $35.48 | Facility | TD · Registered nurse | $31.62 | $31.62 | $35.48 |
Where Louisiana sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 18th of 51
$33.11
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.