How much rates vary
Facilitymedian $87 · 10th to 90th $72 to $155Professionalmedian $95 · 10th to 90th $43 to $138
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 $95.50 Median $95.50 Typical High $173.78 | Facility | None | $95.50 | $95.50 | $173.78 |
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 $60.26 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $60.26 | $95.50 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $19.05 | $30.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $40.74 | $69.18 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $44.67 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $44.67 | $85.11 | $85.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $162.18 | Facility | None | $66.07 | $107.15 | $162.18 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $74.13 | $102.33 | $107.15 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $33.11 | Professional | 26 · Professional part | $24.55 | $32.36 | $33.11 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $74.13 | Professional | TC · Technical part | $50.12 | $70.79 | $74.13 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $162.18 Typical High $275.42 | Facility | None | $66.07 | $162.18 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $138.04 | Professional | None (both parts) | $37.15 | $44.67 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $44.67 | Professional | 26 · Professional part | $11.22 | $12.88 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $31.62 Typical High $97.72 | Professional | TC · Technical part | $21.88 | $31.62 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $41.69 | $79.43 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $13.80 | $27.54 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $27.54 | $53.70 | $91.20 |
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 $32.36 Median $42.66 Typical High $144.54 | Facility | 52 · Reduced service | $32.36 | $42.66 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $57.54 | Facility | 53 · Discontinued | $12.88 | $16.98 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $28.84 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.05 Typical High $22.39 | Professional | 53 · Discontinued | $11.48 | $19.05 | $22.39 |
Where Louisiana sits
The same service costs 5.9 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· 30th of 51
$89.13
AK $347AL $58.88
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.