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 $25.12 Median $31.62 Typical High $34.67 | Facility | None | $25.12 | $31.62 | $34.67 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $16.22 Typical High $17.38 | Facility | 52 · Reduced service | $15.85 | $16.22 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $34.67 | Professional | None (both parts) | $25.12 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.85 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $15.85 | $17.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $51.29 | Professional | None (both parts) | $25.12 | $31.62 | $51.29 |
BCBS Louisiana Setting Facility Modifier None Typical Low $20.42 Median $40.74 Typical High $66.07 | Facility | None | $20.42 | $40.74 | $66.07 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $16.98 | $19.95 | $19.95 |
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 (both parts) Typical Low $22.91 Median $25.70 Typical High $50.12 | Professional | None (both parts) | $22.91 | $25.70 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $48.98 | Professional | None (both parts) | $25.70 | $32.36 | $48.98 |
5 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 $33.11 Median $33.11 Typical High $36.31 | Facility | AF · Specialist physician | $33.11 | $33.11 | $36.31 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $25.12 Median $25.12 Typical High $27.54 | Facility | HO · Master's level | $25.12 | $25.12 | $27.54 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $28.18 Median $28.18 Typical High $30.90 | Facility | TD · Registered nurse | $28.18 | $28.18 | $30.90 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | SA · Nurse practitioner | $26.30 | $26.30 | $26.30 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Where Louisiana sits
The same service costs 2.5 times more in Alaska than in New York. 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
$30.20
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.