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 $0.05 Median $0.08 Typical High $0.09 | Facility | None | $0.05 | $0.08 | $0.09 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Facility | None | $0.10 | $0.10 | $0.10 |
BCBS Louisiana Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | None | $0.10 | $0.10 | $0.10 |
Christus Setting Facility Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | None | $1.23 | $1.23 | $1.23 |
Cigna Setting Facility Modifier None Typical Low $0.08 Median $0.15 Typical High $0.20 | Facility | None | $0.08 | $0.15 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $1.12 | Professional | None | $0.08 | $0.08 | $1.12 |
United Setting Professional Modifier None Typical Low $0.04 Median $0.09 Typical High $0.12 | Professional | None | $0.04 | $0.09 | $0.12 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | JZ · No drug discarded | $7.94 | $7.94 | $7.94 |
Where Louisiana sits
The same service costs 14.1 times more in Wyoming than in Connecticut. 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· 7th of 51
$0.10
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.