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 $954.99 Median $1,230.27 Typical High $4,570.88 | Facility | None | $954.99 | $1,230.27 | $4,570.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $478.63 Median $616.60 Typical High $2,290.87 | Facility | 52 · Reduced service | $478.63 | $616.60 | $2,290.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $190.55 Median $245.47 Typical High $912.01 | Facility | 53 · Discontinued | $190.55 | $245.47 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,096.48 Typical High $1,174.90 | Professional | None (both parts) | $954.99 | $1,096.48 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $537.03 Typical High $588.84 | Professional | 52 · Reduced service | $478.63 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $218.78 Typical High $234.42 | Professional | 53 · Discontinued | $190.55 | $218.78 | $234.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $117.49 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,862.09 Typical High $6,760.83 | Facility | None | $1,778.28 | $1,862.09 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $891.25 | Professional | None (both parts) | $354.81 | $389.05 | $891.25 |
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 $37.15 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $37.15 | $53.70 | $53.70 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $117.49 | $117.49 |
Where Louisiana sits
The same service costs 31.6 times more in Alaska 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· 47th of 51
$537
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.