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 $257.04 Median $2,511.89 Typical High $3,890.45 | Facility | None | $257.04 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $223.87 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $190.55 Typical High $245.47 | Professional | 26 · Professional part | $117.49 | $190.55 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $51.29 | $58.88 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $4,265.80 Typical High $7,943.28 | Facility | None | $0.02 | $4,265.80 | $7,943.28 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $102.33 | $186.21 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $338.84 | Professional | None (both parts) | $74.13 | $117.49 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $239.88 | Professional | 26 · Professional part | $57.54 | $87.10 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $27.54 Typical High $85.11 | Professional | TC · Technical part | $17.78 | $27.54 | $85.11 |
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 $295.12 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $295.12 | $416.87 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $302.00 | Professional | 26 · Professional part | $151.36 | $186.21 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $128.82 | $204.17 | $316.23 |
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 $112.20 Median $125.89 Typical High $158.49 | Professional | 52 · Reduced service | $112.20 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $50.12 Typical High $63.10 | Professional | 53 · Discontinued | $44.67 | $50.12 | $63.10 |
Where Louisiana sits
The same service costs 4.8 times more in Nebraska 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· 15th of 51
$339
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.