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 $891.25 Median $2,951.21 Typical High $5,370.32 | Facility | None | $891.25 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $977.24 Typical High $1,258.93 | Professional | None (both parts) | $912.01 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $758.58 Typical High $954.99 | Professional | 26 · Professional part | $707.95 | $758.58 | $954.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $223.87 | $234.42 | $288.40 |
BCBS Louisiana Setting Facility Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $12,302.69 | Facility | None | $4,786.30 | $5,623.41 | $12,302.69 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $741.31 | $954.99 | $954.99 |
Christus Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,128.61 Typical High $7,244.36 | Facility | None | $3,801.89 | $5,128.61 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,096.48 Typical High $1,584.89 | Professional | None (both parts) | $851.14 | $1,096.48 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $831.76 Typical High $1,202.26 | Professional | 26 · Professional part | $645.65 | $831.76 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $257.04 | $371.54 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $3,801.89 Typical High $12,589.25 | Facility | None | $1,348.96 | $3,801.89 | $12,589.25 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,148.15 Typical High $1,778.28 | Professional | None (both parts) | $954.99 | $1,148.15 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $758.58 Typical High $1,174.90 | Professional | 26 · Professional part | $645.65 | $758.58 | $1,174.90 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $316.23 | $398.11 | $616.60 |
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 $489.78 Median $489.78 Typical High $630.96 | Professional | 52 · Reduced service | $489.78 | $489.78 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | 53 · Discontinued | $194.98 | $194.98 | $251.19 |
Where Louisiana sits
The same service costs 5.2 times more in Louisiana 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· 1st of 51
$4,677
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.