How much rates vary
Facilitymedian $200 · 10th to 90th $33 to $537Professionalmedian $51 · 10th to 90th $42 to $76
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 $58.88 Median $67.61 Typical High $660.69 | Facility | None | $58.88 | $67.61 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $75.86 | Professional | None (both parts) | $48.98 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $30.90 | $36.31 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $25.70 | Professional | TC · Technical part | $18.20 | $21.38 | $25.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $33.88 | Professional | 26 · Professional part | $28.18 | $32.36 | $33.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $33.11 Median $169.82 Typical High $416.87 | Facility | None | $33.11 | $169.82 | $416.87 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $57.54 | Professional | None (both parts) | $42.66 | $50.12 | $57.54 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $30.90 | $38.02 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $20.89 | Professional | TC · Technical part | $16.60 | $19.50 | $20.89 |
Christus Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $199.53 | Facility | None | $19.50 | $28.18 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $31.62 | $42.66 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $19.05 | $26.30 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $16.98 Typical High $28.84 | Professional | TC · Technical part | $12.30 | $16.98 | $28.84 |
United Setting Facility Modifier None Typical Low $91.20 Median $338.84 Typical High $1,202.26 | Facility | None | $91.20 | $338.84 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $42.66 | $56.23 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $37.15 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $12.30 | $19.50 | $31.62 |
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 $24.55 Median $26.30 Typical High $30.20 | Professional | 52 · Reduced service | $24.55 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $12.02 | Professional | 53 · Discontinued | $9.77 | $10.72 | $12.02 |
Where Louisiana sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 29th of 51
$61.66
MN $295KY $45.71
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.