How much rates vary
Facilitymedian $30 · 10th to 90th $0 to $31Professionalmedian $58 · 10th to 90th $25 to $81
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 $57.54 Median $57.54 Typical High $63.10 | Facility | None | $57.54 | $57.54 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $29.51 Typical High $104.71 | Facility | TC · Technical part | $23.44 | $29.51 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $97.72 | Professional | None (both parts) | $35.48 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $37.15 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $37.15 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $12.59 | $23.44 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $19.95 Typical High $29.51 | Facility | None | $0.02 | $19.95 | $29.51 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $67.61 | Professional | None (both parts) | $47.86 | $63.10 | $67.61 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $34.67 | $35.48 | $42.66 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $27.54 Typical High $29.51 | Professional | TC · Technical part | $13.49 | $27.54 | $29.51 |
Christus Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.18 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $57.54 Typical High $93.33 | Facility | None | $26.92 | $57.54 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $83.18 | Professional | None (both parts) | $21.38 | $25.70 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.45 Typical High $48.98 | Professional | 26 · Professional part | $13.80 | $14.45 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $11.48 Typical High $35.48 | Professional | TC · Technical part | $5.25 | $11.48 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $25.12 | $47.86 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $32.36 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $14.79 Typical High $32.36 | Professional | TC · Technical part | $5.01 | $14.79 | $32.36 |
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 $11.75 Median $15.49 Typical High $52.48 | Facility | 52 · Reduced service | $11.75 | $15.49 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $6.17 Typical High $20.89 | Facility | 53 · Discontinued | $4.68 | $6.17 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $28.84 Typical High $33.88 | Professional | 52 · Reduced service | $17.78 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $11.48 Typical High $13.49 | Professional | 53 · Discontinued | $7.08 | $11.48 | $13.49 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 51st of 51
$30.20
AK $141LA $30.20
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.