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 $794.33 Median $3,162.28 Typical High $5,370.32 | Facility | None | $794.33 | $3,162.28 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $691.83 Typical High $870.96 | Professional | None (both parts) | $676.08 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $389.05 Typical High $478.63 | Professional | 26 · Professional part | $371.54 | $389.05 | $478.63 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $302.00 | $309.03 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
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 $281.84 Median $338.84 Typical High $478.63 | Professional | 26 · Professional part | $281.84 | $338.84 | $478.63 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $741.31 Typical High $1,096.48 | Professional | None (both parts) | $436.52 | $741.31 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $407.38 Typical High $602.56 | Professional | 26 · Professional part | $239.88 | $407.38 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $331.13 | $489.78 |
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 $501.19 Median $676.08 Typical High $1,096.48 | Professional | None (both parts) | $501.19 | $676.08 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $354.81 Typical High $549.54 | Professional | 26 · Professional part | $263.03 | $354.81 | $549.54 |
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 $338.84 Median $346.74 Typical High $426.58 | Professional | 52 · Reduced service | $338.84 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $173.78 | Professional | 53 · Discontinued | $134.90 | $138.04 | $173.78 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 29th of 51
$692
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.