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 $398.11 Median $1,288.25 Typical High $3,467.37 | Facility | None | $398.11 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $257.04 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | 26 · Professional part | $97.72 | $117.49 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $204.17 | Professional | TC · Technical part | $158.49 | $194.98 | $204.17 |
BCBS Louisiana Setting Facility Modifier None Typical Low $162.18 Median $288.40 Typical High $741.31 | Facility | None | $162.18 | $288.40 | $741.31 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $257.04 | $309.03 | $363.08 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $112.20 | $125.89 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $165.96 | $199.53 | $234.42 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $676.08 | Facility | None | $134.90 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $165.96 | $275.42 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $100.00 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $169.82 | $208.93 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,202.26 | Facility | None | $91.20 | $363.08 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $177.83 | $263.03 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $93.33 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $169.82 | $229.09 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $158.49 Typical High $165.96 | Professional | 52 · Reduced service | $128.82 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $63.10 Typical High $66.07 | Professional | 53 · Discontinued | $51.29 | $63.10 | $66.07 |
Where Louisiana sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 22nd of 51
$295
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.