How much rates vary
Facilitymedian $110 · 10th to 90th $52 to $200Professionalmedian $145 · 10th to 90th $63 to $209
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 $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $457.09 | Facility | TC · Technical part | $100.00 | $125.89 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $91.20 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $42.66 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $114.82 | Professional | TC · Technical part | $67.61 | $100.00 | $114.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $51.29 Median $104.71 Typical High $177.83 | Facility | None | $51.29 | $104.71 | $177.83 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $120.23 | $186.21 | $199.53 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $41.69 | $44.67 | $50.12 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $144.54 | $151.36 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $141.25 | Facility | None | $39.81 | $39.81 | $141.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $251.19 Typical High $389.05 | Facility | None | $120.23 | $251.19 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $223.87 | Professional | None (both parts) | $53.70 | $74.13 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.38 Typical High $60.26 | Professional | 26 · Professional part | $16.98 | $17.38 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $158.49 | Professional | TC · Technical part | $35.48 | $56.23 | $158.49 |
United Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $144.54 | Facility | None | $58.88 | $79.43 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $61.66 | $112.20 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $37.15 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $36.31 | $77.62 | $141.25 |
4 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 $50.12 Median $66.07 Typical High $223.87 | Facility | 52 · Reduced service | $50.12 | $66.07 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $26.92 Typical High $91.20 | Facility | 53 · Discontinued | $19.95 | $26.92 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $45.71 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $18.20 | $28.84 | $33.11 |
Where Louisiana sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 32nd of 51
$126
AK $331AL $57.54
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.