How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1.45 Median $1.45 Typical High $1.45 | Facility | None | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.45 Typical High $1.45 | Professional | None | $1.23 | $1.45 | $1.45 |
Cigna Setting Facility Modifier None Typical Low $1.23 Median $1.48 Typical High $2.45 | Facility | None | $1.23 | $1.48 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.24 Typical High $0.33 | Professional | None | $0.10 | $0.24 | $0.33 |
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 JZ · No drug discarded Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | JZ · No drug discarded | $6.76 | $6.76 | $6.76 |
Where Louisiana sits
The same service costs 19.5 times more in Alaska than in Georgia. 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· 24th of 51
$0.72
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.