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 $47.86 Median $63.10 Typical High $213.80 | Facility | None | $47.86 | $63.10 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $213.80 | Facility | TC · Technical part | $47.86 | $58.88 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $51.29 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $18.62 | $29.51 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $47.86 | $53.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $58.88 Typical High $100.00 | Facility | None | $0.02 | $58.88 | $100.00 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | None (both parts) | $66.07 | $77.62 | $81.28 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $30.20 | Professional | 26 · Professional part | $23.99 | $29.51 | $30.20 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $52.48 | Professional | TC · Technical part | $42.66 | $47.86 | $52.48 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $61.66 | Facility | None | $39.81 | $39.81 | $61.66 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $117.49 Typical High $223.87 | Facility | None | $47.86 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $102.33 | Professional | None (both parts) | $29.51 | $30.90 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $40.74 | Professional | 26 · Professional part | $10.96 | $11.75 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $61.66 | Professional | TC · Technical part | $17.78 | $18.62 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $37.15 | $64.57 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $43.65 | Professional | 26 · Professional part | $13.18 | $21.88 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $23.99 | $39.81 | $77.62 |
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 $23.99 Median $31.62 Typical High $107.15 | Facility | 52 · Reduced service | $23.99 | $31.62 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $12.59 Typical High $42.66 | Facility | 53 · Discontinued | $9.55 | $12.59 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $38.02 Typical High $44.67 | Professional | 52 · Reduced service | $25.70 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $15.49 Typical High $17.78 | Professional | 53 · Discontinued | $10.23 | $15.49 | $17.78 |
Where Louisiana sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 19th of 51
$75.86
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.