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 $2,238.72 Median $2,884.03 Typical High $10,964.78 | Facility | None | $2,238.72 | $2,884.03 | $10,964.78 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,445.44 Typical High $5,495.41 | Facility | 52 · Reduced service | $1,122.02 | $1,445.44 | $5,495.41 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $446.68 Median $575.44 Typical High $2,187.76 | Facility | 53 · Discontinued | $446.68 | $575.44 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,344.23 Typical High $2,754.23 | Professional | None (both parts) | $2,238.72 | $2,344.23 | $2,754.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,258.93 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,122.02 | $1,258.93 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $501.19 Typical High $549.54 | Professional | 53 · Discontinued | $446.68 | $501.19 | $549.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,344.23 Median $4,265.80 Typical High $6,606.93 | Facility | None | $2,344.23 | $4,265.80 | $6,606.93 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $16,218.10 | Facility | None | $4,265.80 | $4,466.84 | $16,218.10 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,071.52 Typical High $2,884.03 | Professional | None (both parts) | $891.25 | $1,071.52 | $2,884.03 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
Where Louisiana sits
The same service costs 229.1 times more in Texas 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· 8th of 51
$2,512
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.