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 $5,495.41 Median $7,079.46 Typical High $26,915.35 | Facility | None | $5,495.41 | $7,079.46 | $26,915.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $2,754.23 Median $3,548.13 Typical High $13,489.63 | Facility | 52 · Reduced service | $2,754.23 | $3,548.13 | $13,489.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1,096.48 Median $1,412.54 Typical High $5,370.32 | Facility | 53 · Discontinued | $1,096.48 | $1,412.54 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,754.40 Typical High $6,760.83 | Professional | None (both parts) | $5,495.41 | $5,754.40 | $6,760.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,754.23 Median $3,090.30 Typical High $3,388.44 | Professional | 52 · Reduced service | $2,754.23 | $3,090.30 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,096.48 Median $1,230.27 Typical High $1,348.96 | Professional | 53 · Discontinued | $1,096.48 | $1,230.27 | $1,348.96 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $10,964.78 Typical High $39,810.72 | Facility | None | $10,471.29 | $10,964.78 | $39,810.72 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,630.27 Typical High $7,079.46 | Professional | None (both parts) | $2,187.76 | $2,630.27 | $7,079.46 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
Where Louisiana sits
The same service costs 416.9 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· 43rd of 51
$3,162
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.