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 $18.20 Median $18.62 Typical High $20.89 | Facility | None | $18.20 | $18.62 | $20.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $18.62 Typical High $22.91 | Professional | None (both parts) | $17.78 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $9.55 | $10.00 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.51 Typical High $10.47 | Professional | TC · Technical part | $8.13 | $8.51 | $10.47 |
BCBS Louisiana Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $120.23 | Facility | None | $29.51 | $57.54 | $120.23 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $13.49 Median $16.60 Typical High $26.92 | Professional | None (both parts) | $13.49 | $16.60 | $26.92 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $8.71 | $13.80 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $7.76 Typical High $12.59 | Professional | TC · Technical part | $6.17 | $7.76 | $12.59 |
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 $8.32 Median $8.32 Typical High $39.81 | Professional | 26 · Professional part | $8.32 | $8.32 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $21.38 Typical High $31.62 | Professional | None (both parts) | $12.30 | $21.38 | $31.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $16.22 | Professional | 26 · Professional part | $6.46 | $10.96 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $10.47 Typical High $15.49 | Professional | TC · Technical part | $5.75 | $10.47 | $15.49 |
United Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $81.28 | Facility | None | $33.11 | $43.65 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $18.20 Typical High $27.54 | Professional | None (both parts) | $13.18 | $18.20 | $27.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $9.12 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $8.71 Typical High $12.88 | Professional | TC · Technical part | $6.17 | $8.71 | $12.88 |
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 $9.33 Typical High $11.48 | Professional | 52 · Reduced service | $8.91 | $9.33 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $4.57 | Professional | 53 · Discontinued | $3.63 | $3.72 | $4.57 |
Where Louisiana sits
The same service costs 2.7 times more in Minnesota 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· 34th of 51
$18.62
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.