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 $1,000.00 Median $3,388.44 Typical High $7,585.78 | Facility | None | $1,000.00 | $3,388.44 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,023.29 Typical High $1,584.89 | Professional | None (both parts) | $977.24 | $1,023.29 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $288.40 Typical High $363.08 | Professional | 26 · Professional part | $281.84 | $288.40 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $724.44 Typical High $912.01 | Professional | TC · Technical part | $691.83 | $724.44 | $912.01 |
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 $309.03 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $309.03 | $426.58 | $426.58 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
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 $870.96 Median $1,122.02 Typical High $1,621.81 | Professional | None (both parts) | $870.96 | $1,122.02 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $316.23 Typical High $467.74 | Professional | 26 · Professional part | $239.88 | $316.23 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $794.33 Typical High $1,148.15 | Professional | TC · Technical part | $549.54 | $794.33 | $1,148.15 |
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 $831.76 Median $1,071.52 Typical High $1,548.82 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $331.13 Typical High $446.68 | Professional | 26 · Professional part | $245.47 | $331.13 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $724.44 Typical High $1,071.52 | Professional | TC · Technical part | $575.44 | $724.44 | $1,071.52 |
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 $741.31 Median $758.58 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $758.58 | $933.25 |
Where Louisiana sits
The same service costs 4.2 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· 5th 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.