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 $204.17 Median $208.93 Typical High $239.88 | Facility | None | $204.17 | $208.93 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $204.17 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $97.72 | $102.33 | $123.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $1.48 Typical High $2.63 | Facility | None | $0.02 | $1.48 | $2.63 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $223.87 | $288.40 | $288.40 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $147.91 | $147.91 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $81.28 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $186.21 | $234.42 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $97.72 | $120.23 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $112.20 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $229.09 | $295.12 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $107.15 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $186.21 | $309.03 |
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 $102.33 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $52.48 | Professional | 53 · Discontinued | $40.74 | $41.69 | $52.48 |
Where Louisiana sits
The same service costs 3.1 times more in Alaska 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· 30th of 51
$257
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.