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 $74.13 Median $77.62 Typical High $87.10 | Facility | None | $74.13 | $77.62 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $95.50 | Professional | None (both parts) | $74.13 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $30.20 | Professional | 26 · Professional part | $21.88 | $23.99 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $66.07 | Professional | TC · Technical part | $51.29 | $52.48 | $66.07 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $338.84 | Facility | None | $123.03 | $218.78 | $338.84 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $67.61 | $83.18 | $104.71 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $26.30 | Professional | 26 · Professional part | $17.78 | $20.89 | $26.30 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $61.66 | $77.62 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $112.20 | Professional | None (both parts) | $67.61 | $93.33 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $23.44 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $77.62 | Professional | TC · Technical part | $48.98 | $70.79 | $77.62 |
United Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $354.81 | Facility | None | $147.91 | $194.98 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $44.67 | $61.66 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $19.05 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $26.92 | $42.66 | $77.62 |
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 $37.15 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $19.50 | Professional | 53 · Discontinued | $14.79 | $15.49 | $19.50 |
Where Louisiana sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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
$83.18
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.