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 $977.24 Median $1,023.29 Typical High $1,148.15 | Facility | None | $977.24 | $1,023.29 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,023.29 Typical High $1,288.25 | Professional | None (both parts) | $977.24 | $1,023.29 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $138.04 | $147.91 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $870.96 Typical High $1,096.48 | Professional | TC · Technical part | $851.14 | $870.96 | $1,096.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,754.23 | Facility | None | $933.25 | $1,621.81 | $2,754.23 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,000.00 | $1,122.02 | $1,122.02 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $141.25 | $158.49 | $158.49 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $851.14 | $954.99 | $954.99 |
Christus Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $812.83 Typical High $1,445.44 | Professional | None (both parts) | $776.25 | $812.83 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $194.98 | Professional | 26 · Professional part | $112.20 | $123.03 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $691.83 Typical High $1,230.27 | Professional | TC · Technical part | $660.69 | $691.83 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,071.52 | $1,412.54 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,000.00 Typical High $1,584.89 | Professional | None (both parts) | $812.83 | $1,000.00 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $109.65 | $128.82 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $870.96 Typical High $1,380.38 | Professional | TC · Technical part | $707.95 | $870.96 | $1,380.38 |
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 $489.78 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $489.78 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $199.53 | $204.17 | $257.04 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska 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· 35th of 51
$1,000
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.