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 $93.33 Median $95.50 Typical High $107.15 | Facility | None | $93.33 | $95.50 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $85.11 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $47.86 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $37.15 | $42.66 | $51.29 |
BCBS Louisiana Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $154.88 | Facility | None | $57.54 | $102.33 | $154.88 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $93.33 | Professional | None (both parts) | $83.18 | $89.13 | $93.33 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $47.86 | $48.98 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $44.67 | Professional | TC · Technical part | $37.15 | $41.69 | $44.67 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $70.79 | $74.13 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $42.66 | Professional | 26 · Professional part | $38.02 | $39.81 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $33.88 Typical High $38.02 | Professional | TC · Technical part | $32.36 | $33.88 | $38.02 |
United Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $165.96 | Facility | None | $67.61 | $89.13 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $47.86 | $69.18 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $38.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.90 Typical High $43.65 | Professional | TC · Technical part | $22.39 | $30.90 | $43.65 |
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 $42.66 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $42.66 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $16.98 | $19.05 | $23.44 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$85.11
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.