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 $20.89 Median $21.38 Typical High $23.99 | Facility | None | $20.89 | $21.38 | $23.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $21.38 Typical High $26.30 | Professional | None (both parts) | $20.42 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $9.55 | $10.00 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $11.22 Typical High $13.80 | Professional | TC · Technical part | $10.72 | $11.22 | $13.80 |
BCBS Louisiana Setting Facility Modifier None Typical Low $34.67 Median $61.66 Typical High $91.20 | Facility | None | $34.67 | $61.66 | $91.20 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | None (both parts) | $17.38 | $17.38 | $18.20 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.94 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | TC · Technical part | $9.77 | $9.77 | $10.47 |
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 $7.94 Median $7.94 Typical High $39.81 | Professional | 26 · Professional part | $7.94 | $7.94 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
United Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $104.71 | Facility | None | $42.66 | $56.23 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.50 Typical High $31.62 | Professional | None (both parts) | $15.14 | $19.50 | $31.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $8.51 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.72 Typical High $17.38 | Professional | TC · Technical part | $8.13 | $10.72 | $17.38 |
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 $10.23 Median $10.72 Typical High $13.18 | Professional | 52 · Reduced service | $10.23 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $5.25 | Professional | 53 · Discontinued | $4.07 | $4.27 | $5.25 |
Where Louisiana sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 45th of 51
$18.20
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.