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 $269.15 Median $295.12 Typical High $354.81 | Facility | None | $269.15 | $295.12 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $275.42 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $190.55 Typical High $245.47 | Professional | 26 · Professional part | $165.96 | $190.55 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $114.82 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $245.47 | $323.59 | $323.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $173.78 Median $501.19 Typical High $1,174.90 | Facility | None | $173.78 | $501.19 | $1,174.90 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $281.84 | $295.12 | $295.12 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $177.83 | $190.55 | $190.55 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $100.00 | $107.15 | $107.15 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $407.38 | Professional | None (both parts) | $218.78 | $229.09 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $151.36 Typical High $257.04 | Professional | 26 · Professional part | $144.54 | $151.36 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $75.86 | $81.28 | $151.36 |
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 $223.87 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $223.87 | $275.42 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $169.82 Typical High $281.84 | Professional | 26 · Professional part | $141.25 | $169.82 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $107.15 | $169.82 |
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 $144.54 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $144.54 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $57.54 | $61.66 | $77.62 |
Where Louisiana sits
The same service costs 3.3 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· 24th of 51
$295
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.