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 $512.86 Median $1,513.56 Typical High $6,606.93 | Facility | None | $512.86 | $1,513.56 | $6,606.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,023.29 Typical High $1,445.44 | Professional | None (both parts) | $891.25 | $1,023.29 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $147.91 | $162.18 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $794.33 Typical High $954.99 | Professional | TC · Technical part | $741.31 | $794.33 | $954.99 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $147.91 Typical High $154.88 | Professional | 26 · Professional part | $141.25 | $147.91 | $154.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $11,748.98 | Facility | None | $2,290.87 | $3,548.13 | $11,748.98 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $173.78 | $234.42 | $234.42 |
Christus Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $8,317.64 | Facility | None | $1,621.81 | $2,691.53 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,047.13 Typical High $1,513.56 | Professional | None (both parts) | $831.76 | $1,047.13 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $257.04 | Professional | 26 · Professional part | $138.04 | $177.83 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $870.96 Typical High $1,258.93 | Professional | TC · Technical part | $562.34 | $870.96 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $10,471.29 | Facility | None | $1,202.26 | $3,090.30 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $954.99 Typical High $1,412.54 | Professional | None (both parts) | $724.44 | $954.99 | $1,412.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $186.21 Typical High $245.47 | Professional | 26 · Professional part | $138.04 | $186.21 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $758.58 Typical High $1,122.02 | Professional | TC · Technical part | $616.60 | $758.58 | $1,122.02 |
1 more rate 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 54 · Surgery only Typical Low $676.08 Median $691.83 Typical High $851.14 | Professional | 54 · Surgery only | $676.08 | $691.83 | $851.14 |
Where Louisiana sits
The same service costs 4.3 times more in Wisconsin 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· 4th of 51
$2,291
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.