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 $3.98 Median $4.57 Typical High $41.69 | Facility | None | $3.98 | $4.57 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $10.96 Typical High $43.65 | Professional | None | $3.98 | $10.96 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.38 Typical High $8.32 | Professional | 53 · Discontinued | $0.79 | $1.38 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana Setting Professional Modifier None Typical Low $5.25 Median $6.17 Typical High $58.88 | Professional | None | $5.25 | $6.17 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $5.01 Median $44.67 Typical High $70.79 | Professional | None | $5.01 | $44.67 | $70.79 |
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 33 · Preventive service Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 33 · Preventive service | $7.08 | $7.08 | $7.08 |
Where Louisiana sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 47th of 51
$40.74
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.