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 $251.19 Median $302.00 Typical High $338.84 | Facility | None | $251.19 | $302.00 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $302.00 Typical High $380.19 | Professional | None (both parts) | $295.12 | $302.00 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $44.67 | $48.98 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $245.47 | $251.19 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $229.09 | $257.04 | $257.04 |
BCBS Louisiana Setting Facility Modifier None Typical Low $269.15 Median $478.63 Typical High $776.25 | Facility | None | $269.15 | $478.63 | $776.25 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $288.40 | $323.59 | $323.59 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $52.48 | $52.48 |
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 Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $912.01 | Facility | None | $436.52 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $223.87 | $239.88 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $39.81 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $199.53 Typical High $331.13 | Professional | TC · Technical part | $186.21 | $199.53 | $331.13 |
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 $218.78 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $218.78 | $269.15 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $39.81 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $181.97 | $223.87 | $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 $147.91 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $147.91 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $58.88 | $60.26 | $75.86 |
Where Louisiana sits
The same service costs 3.1 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· 30th of 51
$295
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.