How much rates vary
Facilitymedian $269 · 10th to 90th $174 to $646Professionalmedian $288 · 10th to 90th $126 to $407
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 $281.84 Median $288.40 Typical High $446.68 | Facility | None | $281.84 | $288.40 | $446.68 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $831.76 | Facility | TC · Technical part | $194.98 | $245.47 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $177.83 | $288.40 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $91.20 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $194.98 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | None (both parts) | $251.19 | $251.19 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $660.69 | Facility | None | $194.98 | $323.59 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $263.03 | $323.59 | $338.84 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $95.50 | $95.50 | $114.82 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $229.09 | $245.47 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $489.78 Typical High $812.83 | Facility | None | $223.87 | $489.78 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $416.87 | Professional | None (both parts) | $109.65 | $131.83 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $128.82 | Professional | 26 · Professional part | $37.15 | $38.90 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $295.12 | Professional | TC · Technical part | $64.57 | $93.33 | $295.12 |
United Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,000.00 | Facility | None | $407.38 | $537.03 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $107.15 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $87.10 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $54.95 | $165.96 | $302.00 |
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 $97.72 Median $128.82 Typical High $436.52 | Facility | 52 · Reduced service | $97.72 | $128.82 | $436.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $51.29 Typical High $177.83 | Facility | 53 · Discontinued | $38.90 | $51.29 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $144.54 Typical High $165.96 | Professional | 52 · Reduced service | $97.72 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $66.07 | Professional | 53 · Discontinued | $38.90 | $57.54 | $66.07 |
Where Louisiana sits
The same service costs 4.2 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· 27th of 51
$282
AK $575AL $138
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.