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 $269.15 Median $346.74 Typical High $741.31 | Facility | None | $269.15 | $346.74 | $741.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $537.03 | Facility | TC · Technical part | $239.88 | $269.15 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $288.40 | $316.23 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $67.61 | $72.44 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $309.03 | Professional | TC · Technical part | $218.78 | $245.47 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $173.78 | $234.42 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $51.29 | $51.29 | $60.26 |
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 $309.03 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $309.03 | $346.74 | $346.74 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $75.86 | $75.86 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $239.88 | $269.15 | $269.15 |
Christus Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $1,000.00 | Facility | None | $426.58 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $239.88 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $56.23 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $194.98 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $194.98 | $346.74 |
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 $234.42 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $234.42 | $302.00 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $66.07 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $181.97 | $229.09 | $389.05 |
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 $151.36 Median $158.49 Typical High $199.53 | Professional | 52 · Reduced service | $151.36 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $79.43 | Professional | 53 · Discontinued | $61.66 | $63.10 | $79.43 |
Where Louisiana sits
The same service costs 3.3 times more in Minnesota 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· 32nd of 51
$309
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.