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 $398.11 Median $457.09 Typical High $691.83 | Facility | None | $398.11 | $457.09 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $363.08 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $57.54 | $70.79 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $302.00 | $338.84 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $346.74 | $501.19 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $61.66 | $61.66 | $67.61 |
BCBS Louisiana Setting Facility Modifier None Typical Low $229.09 Median $426.58 Typical High $630.96 | Facility | None | $229.09 | $426.58 | $630.96 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $389.05 | $457.09 | $457.09 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $69.18 | $69.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $331.13 | $389.05 | $389.05 |
Christus Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $338.84 | $363.08 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $309.03 | $467.74 |
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 $177.83 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $177.83 | $331.13 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $120.23 | $281.84 | $489.78 |
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 $199.53 Median $204.17 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $104.71 | Professional | 53 · Discontinued | $79.43 | $83.18 | $104.71 |
Where Louisiana sits
The same service costs 3.0 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· 25th of 51
$417
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.