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 $3,630.78 Median $4,677.35 Typical High $17,782.79 | Facility | None | $3,630.78 | $4,677.35 | $17,782.79 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,819.70 Median $2,344.23 Typical High $8,709.64 | Facility | 52 · Reduced service | $1,819.70 | $2,344.23 | $8,709.64 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $724.44 Median $933.25 Typical High $3,548.13 | Facility | 53 · Discontinued | $724.44 | $933.25 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,801.89 Typical High $4,466.84 | Professional | None (both parts) | $3,630.78 | $3,801.89 | $4,466.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,819.70 Median $2,041.74 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,819.70 | $2,041.74 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $812.83 Typical High $891.25 | Professional | 53 · Discontinued | $724.44 | $812.83 | $891.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,801.89 Median $6,918.31 Typical High $10,964.78 | Facility | None | $3,801.89 | $6,918.31 | $10,964.78 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,148.15 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $6,918.31 Median $7,244.36 Typical High $11,220.18 | Facility | None | $6,918.31 | $7,244.36 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,659.59 Typical High $4,677.35 | Professional | None (both parts) | $1,445.44 | $1,659.59 | $4,677.35 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $758.58 | $776.25 | $776.25 |
Where Louisiana sits
The same service costs 35.5 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· 7th of 51
$3,981
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.