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 $3,311.31 Typical High $7,585.78 | Facility | None | $1,000.00 | $3,311.31 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,445.44 Typical High $2,187.76 | Professional | None (both parts) | $1,380.38 | $1,445.44 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $467.74 Typical High $588.84 | Professional | 26 · Professional part | $426.58 | $467.74 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $977.24 Typical High $1,230.27 | Professional | TC · Technical part | $933.25 | $977.24 | $1,230.27 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | 26 · Professional part | $416.87 | $416.87 | $575.44 |
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 $489.78 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $489.78 | $660.69 | $660.69 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $501.19 | $501.19 | $501.19 |
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 $1,202.26 Median $1,584.89 Typical High $2,238.72 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $501.19 Typical High $741.31 | Professional | 26 · Professional part | $371.54 | $501.19 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,047.13 Typical High $1,513.56 | Professional | TC · Technical part | $758.58 | $1,047.13 | $1,513.56 |
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 $1,202.26 Median $1,584.89 Typical High $2,187.76 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $512.86 Typical High $707.95 | Professional | 26 · Professional part | $389.05 | $512.86 | $707.95 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,047.13 Typical High $1,445.44 | Professional | TC · Technical part | $794.33 | $1,047.13 | $1,445.44 |
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 $1,047.13 Median $1,071.52 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,047.13 | $1,071.52 | $1,348.96 |
Where Louisiana sits
The same service costs 3.9 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.