How much rates vary
Facilitymedian $148 · 10th to 90th $112 to $575Professionalmedian $132 · 10th to 90th $63 to $191
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 $128.82 Median $131.83 Typical High $309.03 | Facility | None | $128.82 | $131.83 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $389.05 | Facility | TC · Technical part | $91.20 | $114.82 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $95.50 | $131.83 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $40.74 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $63.10 | $91.20 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $295.12 Typical High $660.69 | Facility | None | $97.72 | $295.12 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $117.49 | $169.82 | $177.83 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $41.69 | $54.95 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $125.89 | $134.90 |
Christus Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $346.74 | Facility | None | $128.82 | $223.87 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $204.17 | Professional | None (both parts) | $50.12 | $66.07 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $57.54 | Professional | 26 · Professional part | $16.22 | $19.95 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $141.25 | Professional | TC · Technical part | $28.18 | $50.12 | $141.25 |
United Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $478.63 | Facility | None | $194.98 | $257.04 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $54.95 | $112.20 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $22.39 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $26.30 | $69.18 | $125.89 |
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 $45.71 Median $60.26 Typical High $204.17 | Facility | 52 · Reduced service | $45.71 | $60.26 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $23.99 Typical High $81.28 | Facility | 53 · Discontinued | $18.20 | $23.99 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $19.05 | $26.30 | $30.20 |
Where Louisiana sits
The same service costs 5.2 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· 21st of 51
$148
AK $309AL $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.