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 $56.23 Median $56.23 Typical High $63.10 | Facility | None | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $56.23 Typical High $69.18 | Professional | None (both parts) | $50.12 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $9.12 | $10.47 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $40.74 | $46.77 | $56.23 |
BCBS Louisiana Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $208.93 | Facility | None | $57.54 | $107.15 | $208.93 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | None (both parts) | $54.95 | $54.95 | $57.54 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $9.12 | Professional | 26 · Professional part | $8.91 | $8.91 | $9.12 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | TC · Technical part | $45.71 | $45.71 | $47.86 |
Christus Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $48.98 | Professional | None (both parts) | $42.66 | $44.67 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.76 Typical High $8.32 | Professional | 26 · Professional part | $7.41 | $7.76 | $8.32 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $37.15 Typical High $40.74 | Professional | TC · Technical part | $35.48 | $37.15 | $40.74 |
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 $26.92 Median $42.66 Typical High $58.88 | Professional | None (both parts) | $26.92 | $42.66 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.94 Typical High $10.72 | Professional | 26 · Professional part | $5.62 | $7.94 | $10.72 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $35.48 | $48.98 |
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 $25.12 Median $28.18 Typical High $34.67 | Professional | 52 · Reduced service | $25.12 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.22 Typical High $13.80 | Professional | 53 · Discontinued | $10.00 | $11.22 | $13.80 |
Where Louisiana sits
The same service costs 3.5 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· 22nd of 51
$54.95
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.