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 $676.08 Median $3,162.28 Typical High $5,370.32 | Facility | None | $676.08 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $524.81 Typical High $645.65 | Professional | None (both parts) | $501.19 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $223.87 Typical High $275.42 | Professional | 26 · Professional part | $213.80 | $223.87 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $288.40 | $302.00 | $371.54 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $1,348.96 Typical High $2,398.83 | Facility | None | $0.02 | $1,348.96 | $2,398.83 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $275.42 | Professional | 26 · Professional part | $162.18 | $190.55 | $275.42 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $169.82 | Professional | 26 · Professional part | $39.81 | $39.81 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $323.59 | $562.34 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $138.04 | $234.42 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $323.59 | $467.74 |
United Setting Facility Modifier None Typical Low $213.80 Median $645.65 Typical High $1,258.93 | Facility | None | $213.80 | $645.65 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $380.19 | $524.81 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $204.17 Typical High $309.03 | Professional | 26 · Professional part | $147.91 | $204.17 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $309.03 | $512.86 |
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 $251.19 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $100.00 | $104.71 | $128.82 |
Where Louisiana sits
The same service costs 3.0 times more in Wisconsin than in North 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· 32nd of 51
$525
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.