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 $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $50.12 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $18.20 | Professional | 26 · Professional part | $13.18 | $14.45 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $50.12 | $60.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $954.99 | Facility | None | $380.19 | $676.08 | $954.99 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $37.15 | $37.15 | $38.90 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.88 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | TC · Technical part | $43.65 | $43.65 | $46.77 |
Christus Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.12 Typical High $28.18 | Professional | None (both parts) | $23.44 | $25.12 | $28.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $12.02 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.85 Typical High $17.78 | Professional | TC · Technical part | $15.14 | $15.85 | $17.78 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,230.27 | Facility | None | $512.86 | $676.08 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $36.31 | $48.98 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.96 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $10.96 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $38.90 | $57.54 |
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 $26.92 Median $32.36 Typical High $39.81 | Professional | 52 · Reduced service | $26.92 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.88 Typical High $15.85 | Professional | 53 · Discontinued | $10.96 | $12.88 | $15.85 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 30th of 51
$51.29
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.