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 $389.05 Median $398.11 Typical High $524.81 | Facility | None | $389.05 | $398.11 | $524.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $398.11 Typical High $1,318.26 | Facility | TC · Technical part | $316.23 | $398.11 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $398.11 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $83.18 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $316.23 | $338.84 | $660.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $1,548.82 | Facility | None | $501.19 | $1,023.29 | $1,548.82 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $537.03 | $537.03 | $776.25 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $87.10 | $89.13 | $104.71 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $691.83 | Professional | TC · Technical part | $331.13 | $446.68 | $691.83 |
Christus Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $1,318.26 | Facility | None | $416.87 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $707.95 | Professional | None (both parts) | $213.80 | $239.88 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $120.23 | Professional | 26 · Professional part | $34.67 | $35.48 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $588.84 | Professional | TC · Technical part | $177.83 | $190.55 | $588.84 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,238.72 | Facility | None | $912.01 | $1,202.26 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $436.52 Typical High $891.25 | Professional | None (both parts) | $208.93 | $436.52 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $79.43 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $363.08 Typical High $776.25 | Professional | TC · Technical part | $165.96 | $363.08 | $776.25 |
4 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 Facility Modifier 52 · Reduced service Typical Low $158.49 Median $199.53 Typical High $707.95 | Facility | 52 · Reduced service | $158.49 | $199.53 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $281.84 | Facility | 53 · Discontinued | $63.10 | $79.43 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $79.43 | $91.20 |
Where Louisiana sits
The same service costs 11.5 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· 24th 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.