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 $79.43 Median $83.18 Typical High $95.50 | Facility | None | $79.43 | $83.18 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $79.43 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $28.84 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $54.95 | $69.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $64.57 Median $114.82 Typical High $186.21 | Facility | None | $64.57 | $114.82 | $186.21 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $66.07 | $70.79 | $85.11 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $23.99 | $29.51 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $44.67 | $47.86 | $56.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $66.07 | $72.44 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $25.12 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $43.65 | $47.86 | $69.18 |
United Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $165.96 | Facility | None | $67.61 | $89.13 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $123.03 | Professional | None (both parts) | $60.26 | $70.79 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $23.44 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $47.86 | $83.18 |
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 $39.81 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $39.81 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.60 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $16.60 | $20.89 |
Where Louisiana sits
The same service costs 4.9 times more in Nebraska 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· 34th of 51
$75.86
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.