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 $114.82 Median $120.23 Typical High $134.90 | Facility | None | $114.82 | $120.23 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $109.65 | $120.23 | $147.91 |
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 $67.61 Median $70.79 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $70.79 | $89.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $501.19 Typical High $1,174.90 | Facility | None | $123.03 | $501.19 | $1,174.90 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $109.65 | $114.82 | $114.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $42.66 | $47.86 | $47.86 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $64.57 | $67.61 | $67.61 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $38.02 | $38.02 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $85.11 | $91.20 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $36.31 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $51.29 | $54.95 | $93.33 |
United Setting Facility Modifier None Typical Low $426.58 Median $562.34 Typical High $1,047.13 | Facility | None | $426.58 | $562.34 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $77.62 | $213.80 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $40.74 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $38.90 | $181.97 | $354.81 |
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 $54.95 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $23.99 | $30.20 |
Where Louisiana sits
The same service costs 5.4 times more in Hawaii 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· 25th of 51
$115
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.