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 $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $63.10 | Professional | TC · Technical part | $48.98 | $51.29 | $63.10 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,570.88 Median $5,623.41 Typical High $12,302.69 | Facility | None | $4,570.88 | $5,623.41 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $138.04 | $177.83 | $177.83 |
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 $1,096.48 Median $1,096.48 Typical High $1,513.56 | Facility | None | $1,096.48 | $1,096.48 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $162.18 | $208.93 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $223.87 | Professional | 26 · Professional part | $120.23 | $154.88 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $54.95 | $81.28 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,000.00 Typical High $9,120.11 | Facility | None | $446.68 | $1,000.00 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $158.49 | $186.21 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $138.04 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $40.74 | $50.12 | $79.43 |
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 $95.50 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $38.02 | $38.02 | $47.86 |
Where Louisiana sits
The same service costs 8.3 times more in Louisiana than in Hawaii. 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· 1st of 51
$1,288
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.