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 $457.09 Median $467.74 Typical High $524.81 | Facility | None | $457.09 | $467.74 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $446.68 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $91.20 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $338.84 | $354.81 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
BCBS Louisiana Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $707.95 | Facility | None | $263.03 | $478.63 | $707.95 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $436.52 | $512.86 | $512.86 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $97.72 | $104.71 | $104.71 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $346.74 | $407.38 | $407.38 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 26 · Professional part | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $380.19 | $416.87 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $501.19 | Professional | TC · Technical part | $309.03 | $331.13 | $501.19 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Facility | None | $245.47 | $323.59 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $389.05 Typical High $660.69 | Professional | None (both parts) | $251.19 | $389.05 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $93.33 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $309.03 | $512.86 |
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 $223.87 Median $234.42 Typical High $295.12 | Professional | 52 · Reduced service | $223.87 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $117.49 | Professional | 53 · Discontinued | $89.13 | $93.33 | $117.49 |
Where Louisiana sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 28th of 51
$468
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.