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 $134.90 Median $141.25 Typical High $158.49 | Facility | None | $134.90 | $141.25 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $114.82 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $63.10 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $58.88 | $75.86 | $95.50 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $288.40 | Facility | None | $109.65 | $204.17 | $288.40 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $114.82 | $134.90 | $134.90 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $56.23 | $61.66 | $61.66 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $63.10 | $72.44 | $72.44 |
Christus Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $97.72 | $104.71 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $47.86 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $56.23 | $102.33 |
United Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $79.43 | $114.82 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $52.48 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $33.88 | $63.10 | $107.15 |
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 $61.66 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $28.18 | $35.48 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 22nd of 51
$135
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.