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 $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $208.93 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $48.98 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $158.49 | $162.18 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
BCBS Louisiana Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $707.95 | Facility | None | $269.15 | $467.74 | $707.95 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $190.55 | $190.55 | $213.80 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $48.98 | $48.98 | $54.95 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $141.25 | $141.25 | $158.49 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $331.13 | Professional | None (both parts) | $186.21 | $213.80 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $43.65 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $169.82 | $251.19 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Facility | None | $245.47 | $323.59 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $158.49 | $223.87 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $53.70 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $165.96 | $234.42 |
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 $104.71 Median $107.15 Typical High $131.83 | Professional | 52 · Reduced service | $104.71 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $43.65 | $53.70 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 42nd of 51
$214
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.