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 $4.79 Median $5.01 Typical High $19.50 | Facility | None | $4.79 | $5.01 | $19.50 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2.40 Median $3.02 Typical High $9.55 | Facility | 52 · Reduced service | $2.40 | $3.02 | $9.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.95 Median $1.20 Typical High $3.89 | Facility | 53 · Discontinued | $0.95 | $1.20 | $3.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $4.79 Median $6.17 Typical High $19.50 | Facility | TC · Technical part | $4.79 | $6.17 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None (both parts) | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.40 Median $2.40 Typical High $141.25 | Professional | 52 · Reduced service | $2.40 | $2.40 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $56.23 | Professional | 53 · Discontinued | $0.95 | $0.95 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | TC · Technical part | $4.79 | $4.79 | $4.79 |
BCBS Louisiana Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $1,122.02 | Facility | None | $398.11 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $691.83 Typical High $1,174.90 | Facility | None | $389.05 | $691.83 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $512.86 | Professional | None (both parts) | $407.38 | $407.38 | $512.86 |
United Setting Facility Modifier None Typical Low $151.36 Median $323.59 Typical High $354.81 | Facility | None | $151.36 | $323.59 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $354.81 | Professional | None (both parts) | $144.54 | $154.88 | $354.81 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $4.79 Typical High $338.84 | Professional | 26 · Professional part | $4.79 | $4.79 | $338.84 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska than in Ohio. 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
$372
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.