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 $91.20 Median $95.50 Typical High $107.15 | Facility | None | $91.20 | $95.50 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $89.13 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $36.31 | $38.90 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $54.95 | $56.23 | $70.79 |
BCBS Louisiana Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $165.96 | Facility | None | $67.61 | $107.15 | $165.96 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $87.10 | $97.72 | $97.72 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $33.88 | $38.02 | $38.02 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $50.12 | $58.88 | $58.88 |
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 $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $70.79 | $75.86 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $30.20 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $45.71 | $70.79 |
United Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $165.96 | Facility | None | $67.61 | $89.13 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $63.10 | $77.62 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $32.36 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $30.20 | $46.77 | $77.62 |
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 $44.67 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $23.99 | Professional | 53 · Discontinued | $17.78 | $19.05 | $23.99 |
Where Louisiana sits
The same service costs 3.0 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· 25th of 51
$93.33
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.