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 $302.00 Median $389.05 Typical High $1,445.44 | Facility | None | $302.00 | $389.05 | $1,445.44 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $194.98 Typical High $724.44 | Facility | 52 · Reduced service | $151.36 | $194.98 | $724.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $288.40 | Facility | 53 · Discontinued | $60.26 | $77.62 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $302.00 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $151.36 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $67.61 | $74.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $1,023.29 | Facility | None | $331.13 | $660.69 | $1,023.29 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $269.15 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $912.01 | Facility | None | $302.00 | $537.03 | $912.01 |
United Setting Facility Modifier None Typical Low $117.49 Median $257.04 Typical High $281.84 | Facility | None | $117.49 | $257.04 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $380.19 | Professional | None (both parts) | $117.49 | $141.25 | $380.19 |
2 more rates 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 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $91.20 | $104.71 | $104.71 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $177.83 | $204.17 | $204.17 |
Where Louisiana sits
The same service costs 10.0 times more in Texas than in Mississippi. 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· 12th of 51
$309
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.