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 $6.61 Median $7.41 Typical High $13.49 | Facility | None | $6.61 | $7.41 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $11.75 Typical High $15.85 | Professional | None | $6.61 | $11.75 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $5.37 Typical High $6.76 | Professional | 52 · Reduced service | $3.31 | $5.37 | $6.76 |
Ambetter Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $20.89 | Professional | None | $7.76 | $7.76 | $20.89 |
BCBS Louisiana Setting Facility Modifier None Typical Low $28.84 Median $51.29 Typical High $79.43 | Facility | None | $28.84 | $51.29 | $79.43 |
BCBS Louisiana Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $17.38 | Professional | None | $7.76 | $10.00 | $17.38 |
Christus Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
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 $7.76 Median $14.79 Typical High $20.89 | Professional | None | $7.76 | $14.79 | $20.89 |
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 59 · Distinct service Typical Low $16.22 Median $18.20 Typical High $18.62 | Professional | 59 · Distinct service | $16.22 | $18.20 | $18.62 |
Where Louisiana sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 51st of 51
$13.49
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.