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 $3,235.94 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,235.94 | $7,943.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,318.26 Typical High $1,737.80 | Professional | None (both parts) | $1,258.93 | $1,318.26 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $416.87 Typical High $524.81 | Professional | 26 · Professional part | $398.11 | $416.87 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $891.25 Typical High $1,122.02 | Professional | TC · Technical part | $851.14 | $891.25 | $1,122.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $398.11 | $426.58 | $426.58 |
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 $436.52 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $436.52 | $602.56 | $602.56 |
Christus Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $316.23 | $316.23 | $316.23 |
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 $1,096.48 Median $1,412.54 Typical High $1,995.26 | Professional | None (both parts) | $1,096.48 | $1,412.54 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $446.68 Typical High $660.69 | Professional | 26 · Professional part | $338.84 | $446.68 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $1,348.96 | Professional | TC · Technical part | $724.44 | $954.99 | $1,348.96 |
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 $1,096.48 Median $1,479.11 Typical High $1,995.26 | Professional | None (both parts) | $1,096.48 | $1,479.11 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $457.09 Typical High $630.96 | Professional | 26 · Professional part | $346.74 | $457.09 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,000.00 Typical High $1,348.96 | Professional | TC · Technical part | $741.31 | $1,000.00 | $1,348.96 |
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 $933.25 Median $977.24 Typical High $1,202.26 | Professional | 54 · Surgery only | $933.25 | $977.24 | $1,202.26 |
Where Louisiana sits
The same service costs 3.8 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· 8th 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.