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 $1,122.02 Median $1,230.27 Typical High $1,778.28 | Professional | None (both parts) | $1,122.02 | $1,230.27 | $1,778.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $346.74 Typical High $436.52 | Professional | 26 · Professional part | $331.13 | $346.74 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $812.83 Typical High $1,000.00 | Professional | TC · Technical part | $776.25 | $812.83 | $1,000.00 |
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 $363.08 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $363.08 | $501.19 | $501.19 |
Christus Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
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 $977.24 Median $1,258.93 Typical High $1,819.70 | Professional | None (both parts) | $977.24 | $1,258.93 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $549.54 | Professional | 26 · Professional part | $281.84 | $371.54 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $891.25 Typical High $1,258.93 | Professional | TC · Technical part | $645.65 | $891.25 | $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 $977.24 Median $1,288.25 Typical High $1,737.80 | Professional | None (both parts) | $977.24 | $1,288.25 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $380.19 Typical High $524.81 | Professional | 26 · Professional part | $288.40 | $380.19 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $891.25 Typical High $1,202.26 | Professional | TC · Technical part | $676.08 | $891.25 | $1,202.26 |
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 $831.76 Median $870.96 Typical High $1,071.52 | Professional | 54 · Surgery only | $831.76 | $870.96 | $1,071.52 |
Where Louisiana sits
The same service costs 4.0 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
$2,570
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.