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 $117.49 Median $169.82 Typical High $186.21 | Facility | None | $117.49 | $169.82 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $186.21 | Professional | None | $120.23 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $70.79 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $288.40 | Professional | None | $165.96 | $208.93 | $288.40 |
BCBS Louisiana Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $323.59 | Facility | None | $117.49 | $223.87 | $323.59 |
BCBS Louisiana Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | None | $114.82 | $114.82 | $138.04 |
Christus Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $204.17 | Professional | None | $107.15 | $144.54 | $204.17 |
United Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $239.88 | Professional | None | $112.20 | $169.82 | $239.88 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $173.78 Median $213.80 Typical High $338.84 | Professional | 25 · Same-day visit | $173.78 | $213.80 | $338.84 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | GC · Resident with teaching physician | $245.47 | $245.47 | $245.47 |
Where Louisiana sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 46th of 51
$129
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.