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 $1,737.80 | Facility | None | $204.17 | $208.93 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $204.17 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $85.11 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $123.03 | $128.82 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $1,202.26 | Facility | None | $416.87 | $741.31 | $1,202.26 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $234.42 | $302.00 | $302.00 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $91.20 | $117.49 | $117.49 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $144.54 | $186.21 | $186.21 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $190.55 | $239.88 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $93.33 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $117.49 | $147.91 | $234.42 |
United Setting Facility Modifier None Typical Low $616.60 Median $831.76 Typical High $1,513.56 | Facility | None | $616.60 | $831.76 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $154.88 | $194.98 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $77.62 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $81.28 | $120.23 | $208.93 |
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 $131.83 | Professional | 52 · Reduced service | $102.33 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $42.66 Typical High $52.48 | Professional | 53 · Discontinued | $40.74 | $42.66 | $52.48 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska 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· 30th of 51
$240
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.