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 $20.42 Median $21.38 Typical High $23.99 | Facility | None | $20.42 | $21.38 | $23.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.38 Typical High $26.92 | Professional | None (both parts) | $19.05 | $21.38 | $26.92 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $15.14 | $17.78 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.72 Typical High $4.68 | Professional | TC · Technical part | $3.63 | $3.72 | $4.68 |
BCBS Louisiana Setting Facility Modifier None Typical Low $144.54 Median $257.04 Typical High $389.05 | Facility | None | $144.54 | $257.04 | $389.05 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $23.99 | Professional | None (both parts) | $18.62 | $23.44 | $23.99 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $15.14 | $18.62 | $19.50 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.57 Typical High $4.68 | Professional | TC · Technical part | $3.63 | $4.57 | $4.68 |
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 $13.80 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $18.62 Typical High $23.44 | Professional | None (both parts) | $16.98 | $18.62 | $23.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $18.62 | Professional | 26 · Professional part | $12.88 | $14.79 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.72 Typical High $4.47 | Professional | TC · Technical part | $3.16 | $3.72 | $4.47 |
United Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $354.81 | Facility | None | $147.91 | $194.98 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $11.75 Median $16.98 Typical High $42.66 | Professional | None (both parts) | $11.75 | $16.98 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $12.59 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $2.04 Median $2.95 Typical High $24.55 | Professional | TC · Technical part | $2.04 | $2.95 | $24.55 |
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 $9.33 Median $10.72 Typical High $13.49 | Professional | 52 · Reduced service | $9.33 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.27 Typical High $5.37 | Professional | 53 · Discontinued | $3.80 | $4.27 | $5.37 |
Where Louisiana sits
The same service costs 2.5 times more in California than in Texas. 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· 21st of 51
$21.38
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.