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 $54.95 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $54.95 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $11.22 Typical High $13.80 | Professional | TC · Technical part | $10.72 | $11.22 | $13.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $6,760.83 | Facility | None | $794.33 | $1,288.25 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $56.23 | $56.23 |
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 Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $46.77 | $61.66 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $50.12 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $12.02 Typical High $16.98 | Professional | TC · Technical part | $9.33 | $12.02 | $16.98 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,000.00 Typical High $3,388.44 | Facility | None | $446.68 | $1,000.00 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $51.29 | $70.79 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $53.70 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.49 Typical High $22.91 | Professional | TC · Technical part | $11.75 | $15.49 | $22.91 |
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 $27.54 Median $27.54 Typical High $34.67 | Professional | 52 · Reduced service | $27.54 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $13.80 | Professional | 53 · Discontinued | $10.96 | $10.96 | $13.80 |
Where Louisiana sits
The same service costs 51.3 times more in Oklahoma 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· 4th of 51
$794
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.