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 $123.03 Median $125.89 Typical High $141.25 | Facility | None | $123.03 | $125.89 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $123.03 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $18.62 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $107.15 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $120.23 | $120.23 | $131.83 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $223.87 Typical High $363.08 | Facility | None | $0.02 | $223.87 | $363.08 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $169.82 | Professional | None (both parts) | $131.83 | $165.96 | $169.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.95 Typical High $20.42 | Professional | 26 · Professional part | $15.85 | $19.95 | $20.42 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $144.54 | $151.36 |
Christus Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $112.20 | $131.83 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $15.14 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $117.49 | $141.25 |
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 $70.79 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $70.79 | $87.10 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $17.38 | Professional | 26 · Professional part | $10.00 | $13.18 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $58.88 | $75.86 | $104.71 |
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 $61.66 Median $63.10 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $63.10 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $25.12 | $31.62 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 20th of 51
$132
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.