How much rates vary
Facilitymedian $55 · 10th to 90th $38 to $151Professionalmedian $79 · 10th to 90th $35 to $115
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 $77.62 Median $83.18 Typical High $147.91 | Facility | None | $77.62 | $83.18 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $275.42 | Facility | TC · Technical part | $64.57 | $81.28 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $123.03 | Professional | None (both parts) | $67.61 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $10.23 | $13.49 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $57.54 | $66.07 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $72.44 | $72.44 | $104.71 |
BCBS Louisiana Setting Facility Modifier None Typical Low $31.62 Median $72.44 Typical High $134.90 | Facility | None | $31.62 | $72.44 | $134.90 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $79.43 | $93.33 | $97.72 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $14.13 | $16.60 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $83.18 | Professional | TC · Technical part | $60.26 | $77.62 | $83.18 |
Christus Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $263.03 | Facility | None | $75.86 | $162.18 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $117.49 | Professional | None (both parts) | $33.11 | $37.15 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $5.62 Typical High $19.05 | Professional | 26 · Professional part | $5.50 | $5.62 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $100.00 | Professional | TC · Technical part | $26.30 | $31.62 | $100.00 |
United Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $70.79 Typical High $112.20 | Professional | None (both parts) | $33.11 | $70.79 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $12.59 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $25.12 | $57.54 | $100.00 |
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 $32.36 Median $40.74 Typical High $144.54 | Facility | 52 · Reduced service | $32.36 | $40.74 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $16.60 Typical High $58.88 | Facility | 53 · Discontinued | $12.88 | $16.60 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $38.90 Typical High $44.67 | Professional | 52 · Reduced service | $33.88 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $17.78 | Professional | 53 · Discontinued | $13.49 | $15.85 | $17.78 |
Where Louisiana sits
The same service costs 6.0 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· 36th of 51
$72.44
AK $209AL $34.67
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.