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 $263.03 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $263.03 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | 26 · Professional part | $194.98 | $194.98 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $70.79 | $87.10 |
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 $190.55 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $190.55 | $245.47 | $245.47 |
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 $229.09 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $229.09 | $295.12 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $213.80 Typical High $309.03 | Professional | 26 · Professional part | $165.96 | $213.80 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $75.86 | $112.20 |
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 $223.87 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $223.87 | $269.15 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $302.00 | Professional | 26 · Professional part | $165.96 | $194.98 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $74.13 | $114.82 |
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 $131.83 Median $131.83 Typical High $165.96 | Professional | 52 · Reduced service | $131.83 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 53 · Discontinued | $52.48 | $52.48 | $67.61 |
Where Louisiana sits
The same service costs 5.8 times more in Louisiana than in Alabama. 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.