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 $128.82 Median $144.54 Typical High $169.82 | Facility | None | $128.82 | $144.54 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $141.25 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $56.23 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $89.13 | $91.20 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $102.33 | $112.20 | $112.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $128.82 Median $204.17 Typical High $288.40 | Facility | None | $128.82 | $204.17 | $288.40 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $138.04 | $144.54 | $144.54 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $51.29 | $54.95 | $54.95 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $85.11 | $89.13 | $89.13 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $39.81 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $104.71 | $112.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $42.66 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $69.18 | $138.04 |
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 $104.71 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $104.71 | $131.83 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $48.98 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $89.13 | $144.54 |
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 $69.18 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $69.18 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $29.51 | $37.15 |
Where Louisiana sits
The same service costs 3.2 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
$145
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.