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 $19.05 Median $19.95 Typical High $22.91 | Facility | None | $19.05 | $19.95 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.95 Typical High $25.12 | Professional | None (both parts) | $17.38 | $19.95 | $25.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $16.60 | $20.89 |
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 $17.78 Median $21.88 Typical High $22.91 | Professional | None (both parts) | $17.78 | $21.88 | $22.91 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $17.38 | $18.20 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $17.38 Typical High $21.88 | Professional | None (both parts) | $15.85 | $17.38 | $21.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $12.02 | $13.80 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.72 Typical High $4.47 | Professional | TC · Technical part | $2.88 | $3.72 | $4.47 |
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 $10.96 Median $15.49 Typical High $38.02 | Professional | None (both parts) | $10.96 | $15.49 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $8.91 | $11.48 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $2.88 Typical High $21.88 | Professional | TC · Technical part | $1.95 | $2.88 | $21.88 |
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 $8.91 Median $10.00 Typical High $12.59 | Professional | 52 · Reduced service | $8.91 | $10.00 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.07 Typical High $5.13 | Professional | 53 · Discontinued | $3.55 | $4.07 | $5.13 |
Where Louisiana sits
The same service costs 2.6 times more in California than in New York. 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
$19.95
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.