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 $154.88 Median $158.49 Typical High $177.83 | Facility | None | $154.88 | $158.49 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $154.88 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $34.67 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $123.03 | $158.49 |
BCBS Louisiana Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $676.08 | Facility | None | $257.04 | $478.63 | $676.08 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $173.78 | $204.17 | $204.17 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $30.90 | $33.88 | $33.88 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $169.82 | $169.82 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $26.92 | $26.92 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $134.90 | $144.54 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $26.30 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $107.15 | $117.49 | $181.97 |
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 $64.57 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $64.57 | $141.25 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $29.51 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $34.67 | $114.82 | $181.97 |
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 $77.62 Median $79.43 Typical High $100.00 | Professional | 52 · Reduced service | $77.62 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $39.81 | Professional | 53 · Discontinued | $30.90 | $31.62 | $39.81 |
Where Louisiana sits
The same service costs 2.9 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· 22nd of 51
$191
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.