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 $5,248.07 Median $6,760.83 Typical High $25,703.96 | Facility | None | $5,248.07 | $6,760.83 | $25,703.96 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2,630.27 Median $3,388.44 Typical High $12,882.50 | Facility | 52 · Reduced service | $2,630.27 | $3,388.44 | $12,882.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,380.38 Typical High $5,128.61 | Facility | 53 · Discontinued | $1,071.52 | $1,380.38 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,495.41 Typical High $6,456.54 | Professional | None (both parts) | $5,248.07 | $5,495.41 | $6,456.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,630.27 Median $2,951.21 Typical High $3,235.94 | Professional | 52 · Reduced service | $2,630.27 | $2,951.21 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,202.26 Typical High $1,288.25 | Professional | 53 · Discontinued | $1,071.52 | $1,202.26 | $1,288.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $5,495.41 Median $10,000.00 Typical High $15,848.93 | Facility | None | $5,495.41 | $10,000.00 | $15,848.93 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $10,471.29 Typical High $16,218.10 | Facility | None | $10,000.00 | $10,471.29 | $16,218.10 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,398.83 Typical High $6,760.83 | Professional | None (both parts) | $2,089.30 | $2,398.83 | $6,760.83 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $436.52 | $436.52 | $436.52 |
Where Louisiana sits
The same service costs 12.0 times more in Texas than in Alabama. 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
$5,888
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.