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 $208.93 Median $288.40 Typical High $630.96 | Facility | None | $208.93 | $288.40 | $630.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $371.54 | Facility | TC · Technical part | $190.55 | $239.88 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $229.09 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $48.98 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $190.55 | $239.88 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $181.97 | $190.55 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $35.48 | $41.69 |
BCBS Louisiana Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $660.69 | Facility | None | $234.42 | $446.68 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $281.84 | $309.03 | $309.03 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $45.71 | $52.48 | $52.48 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $234.42 | $257.04 | $257.04 |
Christus Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $977.24 | Facility | None | $416.87 | $676.08 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $213.80 | $229.09 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $38.02 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $177.83 | $190.55 | $338.84 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $660.69 | Facility | None | $269.15 | $363.08 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $199.53 | $257.04 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $380.19 | Professional | TC · Technical part | $177.83 | $218.78 | $380.19 |
3 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 $138.04 Median $144.54 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $72.44 | Professional | 53 · Discontinued | $56.23 | $57.54 | $72.44 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 59 · Distinct service | $181.97 | $181.97 | $181.97 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 25th 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.