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 $575.44 Median $2,951.21 Typical High $5,370.32 | Facility | None | $575.44 | $2,951.21 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $165.96 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $123.03 | $141.25 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $43.65 Typical High $53.70 | Professional | TC · Technical part | $41.69 | $43.65 | $53.70 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $4,466.84 Typical High $8,128.31 | Facility | None | $0.02 | $4,466.84 | $8,128.31 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $97.72 | $125.89 | $151.36 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $251.19 | Professional | None (both parts) | $112.20 | $147.91 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $112.20 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $26.92 | $34.67 | $63.10 |
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 $158.49 Median $346.74 Typical High $2,754.23 | Professional | None (both parts) | $158.49 | $346.74 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $114.82 | $165.96 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $89.13 Typical High $2,570.40 | Professional | TC · Technical part | $36.31 | $89.13 | $2,570.40 |
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 $91.20 Median $93.33 Typical High $117.49 | Professional | 52 · Reduced service | $91.20 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $36.31 | $37.15 | $46.77 |
Where Louisiana sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 19th of 51
$282
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.