How much rates vary
Facilitymedian $195 · 10th to 90th $148 to $617Professionalmedian $178 · 10th to 90th $76 to $245
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 $173.78 Median $190.55 Typical High $363.08 | Facility | None | $173.78 | $190.55 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $616.60 | Facility | TC · Technical part | $134.90 | $173.78 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $107.15 | $177.83 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $41.69 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $134.90 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $660.69 | Facility | None | $117.49 | $295.12 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $128.82 | $194.98 | $204.17 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $44.67 | $44.67 | $53.70 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $158.49 | Professional | TC · Technical part | $89.13 | $147.91 | $158.49 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $338.84 Typical High $602.56 | Facility | None | $144.54 | $338.84 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $257.04 | Professional | None (both parts) | $64.57 | $79.43 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.05 Typical High $60.26 | Professional | 26 · Professional part | $17.38 | $19.05 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $61.66 Typical High $199.53 | Professional | TC · Technical part | $36.31 | $61.66 | $199.53 |
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 $70.79 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $70.79 | $138.04 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $23.99 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $46.77 | $102.33 | $190.55 |
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 $67.61 Median $89.13 Typical High $302.00 | Facility | 52 · Reduced service | $67.61 | $89.13 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $35.48 Typical High $123.03 | Facility | 53 · Discontinued | $26.92 | $35.48 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $53.70 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $35.48 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $35.48 | $40.74 |
Where Louisiana sits
The same service costs 7.1 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· 20th of 51
$195
AK $417AL $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.