How much rates vary
Facilitymedian $295 · 10th to 90th $141 to $575Professionalmedian $155 · 10th to 90th $120 to $240
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 $154.88 Median $154.88 Typical High $173.78 | Facility | None | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $147.91 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $41.69 | $43.65 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $107.15 | $112.20 | $138.04 |
BCBS Louisiana Setting Facility Modifier None Typical Low $141.25 Median $316.23 Typical High $575.44 | Facility | None | $141.25 | $316.23 | $575.44 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $120.23 | $141.25 | $204.17 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $38.02 | $63.10 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $141.25 | Professional | TC · Technical part | $89.13 | $102.33 | $141.25 |
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 $37.15 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $37.15 | $37.15 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $91.20 | $165.96 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $50.12 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $63.10 | $114.82 | $186.21 |
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 $109.65 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $109.65 | $158.49 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $39.81 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $302.00 | Professional | TC · Technical part | $79.43 | $114.82 | $302.00 |
4 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 $74.13 Median $77.62 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $30.20 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.44 Typical High $28.84 | Professional | 55 · Aftercare only | $22.39 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.49 Typical High $19.05 | Professional | 56 · Pre-op care only | $14.79 | $15.49 | $19.05 |
Where Louisiana sits
The same service costs 3.2 times more in Kansas than in Utah. 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· 38th of 51
$155
KS $324UT $100
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.