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 $1,000.00 Median $1,288.25 Typical High $4,897.79 | Facility | None | $1,000.00 | $1,288.25 | $4,897.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $501.19 Median $645.65 Typical High $2,454.71 | Facility | 52 · Reduced service | $501.19 | $645.65 | $2,454.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $257.04 Typical High $977.24 | Facility | 53 · Discontinued | $199.53 | $257.04 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,122.02 Typical High $1,230.27 | Professional | None (both parts) | $1,000.00 | $1,122.02 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,122.02 Typical High $1,230.27 | Professional | 26 · Professional part | $1,000.00 | $1,122.02 | $1,230.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $562.34 Typical High $616.60 | Professional | 52 · Reduced service | $501.19 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $223.87 Typical High $245.47 | Professional | 53 · Discontinued | $199.53 | $223.87 | $245.47 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,691.53 | Facility | None | $1,000.00 | $1,778.28 | $2,691.53 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $1,096.48 | Professional | None (both parts) | $89.13 | $102.33 | $1,096.48 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $371.54 | Professional | 26 · Professional part | $28.84 | $33.88 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,995.26 | $3,162.28 |
United Setting Facility Modifier None Typical Low $398.11 Median $851.14 Typical High $954.99 | Facility | None | $398.11 | $851.14 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $398.11 | $478.63 | $1,288.25 |
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 |
|---|---|---|---|---|---|
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $724.44 | Professional | TC · Technical part | $60.26 | $69.18 | $724.44 |
Where Louisiana sits
The same service costs 8.3 times more in Texas 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· 13th of 51
$1,000
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.