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 $131.83 Median $131.83 Typical High $151.36 | Facility | None | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $128.82 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $63.10 | $66.07 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $67.61 | $83.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $2,691.53 Typical High $5,128.61 | Facility | None | $0.02 | $2,691.53 | $5,128.61 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $69.18 | $93.33 | $97.72 |
Christus Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $112.20 | $147.91 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $72.44 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $74.13 | $112.20 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $154.88 | $190.55 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $79.43 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $97.72 | $109.65 | $177.83 |
2 more rates 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 52 · Reduced service Typical Low $64.57 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $33.11 | Professional | 53 · Discontinued | $25.70 | $26.30 | $33.11 |
Where Louisiana sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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· 44th of 51
$155
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.