How much rates vary
Facilitymedian $74 · 10th to 90th $49 to $162Professionalmedian $110 · 10th to 90th $49 to $158
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 $107.15 Median $114.82 Typical High $199.53 | Facility | None | $107.15 | $114.82 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $338.84 | Facility | TC · Technical part | $79.43 | $100.00 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $95.50 | $109.65 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $30.20 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $83.18 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $52.48 | $100.00 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $44.67 Median $102.33 Typical High $158.49 | Facility | None | $44.67 | $102.33 | $158.49 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $104.71 | $125.89 | $131.83 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $30.90 | $37.15 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $95.50 | $102.33 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $199.53 Typical High $323.59 | Facility | None | $95.50 | $199.53 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $162.18 | Professional | None (both parts) | $46.77 | $51.29 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.88 Typical High $41.69 | Professional | 26 · Professional part | $12.02 | $12.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $120.23 | Professional | TC · Technical part | $31.62 | $38.90 | $120.23 |
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 $45.71 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $45.71 | $97.72 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $27.54 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $28.18 | $72.44 | $112.20 |
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 $39.81 Median $52.48 Typical High $177.83 | Facility | 52 · Reduced service | $39.81 | $52.48 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $70.79 | Facility | 53 · Discontinued | $15.85 | $20.89 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $21.88 | $25.12 |
Where Louisiana sits
The same service costs 5.5 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· 34th of 51
$97.72
AK $269AL $48.98
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.