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 $144.54 Median $165.96 Typical High $338.84 | Facility | None | $144.54 | $165.96 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $134.90 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $30.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $114.82 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $208.93 | Professional | None (both parts) | $75.86 | $85.11 | $208.93 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $371.54 | Facility | None | $138.04 | $239.88 | $371.54 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $144.54 | $162.18 | $162.18 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $28.84 | $32.36 | $32.36 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $128.82 | $128.82 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $676.08 | Facility | None | $208.93 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $112.20 | $117.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $20.89 | $23.99 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $93.33 | $162.18 |
United Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $288.40 | Facility | None | $120.23 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $107.15 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $15.14 | $23.99 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $112.20 | $181.97 |
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 $70.79 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $70.79 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $28.18 | $29.51 | $37.15 |
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· 31st of 51
$145
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.