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 $51.29 Median $51.29 Typical High $141.25 | Facility | None | $51.29 | $51.29 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $51.29 | $51.29 | $58.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Christus Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $165.96 | Facility | None | $102.33 | $107.15 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
United Setting Facility Modifier None Typical Low $21.38 Median $45.71 Typical High $51.29 | Facility | None | $21.38 | $45.71 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $66.07 | Professional | None (both parts) | $21.38 | $25.70 | $66.07 |
6 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 Facility Modifier 52 · Reduced service Typical Low $25.70 Median $28.84 Typical High $102.33 | Facility | 52 · Reduced service | $25.70 | $28.84 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $11.48 Typical High $40.74 | Facility | 53 · Discontinued | $10.23 | $11.48 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | QW · Waived lab test | $23.99 | $23.99 | $28.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
Where Louisiana sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 21st of 51
$51.29
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.