How much rates vary
Facilitymedian $282 · 10th to 90th $178 to $617Professionalmedian $135 · 10th to 90th $54 to $209
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 $131.83 Median $131.83 Typical High $141.25 | Facility | None | $131.83 | $131.83 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $371.54 | Facility | TC · Technical part | $83.18 | $104.71 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $131.83 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $46.77 | $50.12 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $81.28 | $85.11 | $114.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
BCBS Louisiana Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $660.69 | Facility | None | $173.78 | $323.59 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $134.90 | $134.90 | $194.98 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $51.29 | $77.62 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $85.11 | $117.49 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $426.58 | Facility | None | $87.10 | $204.17 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $70.79 Typical High $190.55 | Professional | None (both parts) | $51.29 | $70.79 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $70.79 | Professional | 26 · Professional part | $19.50 | $26.92 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $120.23 | Professional | TC · Technical part | $31.62 | $38.90 | $120.23 |
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 $74.13 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $74.13 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $27.54 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $46.77 | $83.18 | $151.36 |
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 $41.69 Median $54.95 Typical High $186.21 | Facility | 52 · Reduced service | $41.69 | $54.95 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $21.88 Typical High $74.13 | Facility | 53 · Discontinued | $16.60 | $21.88 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.90 |
Where Louisiana sits
The same service costs 4.5 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· 3rd of 51
$263
AK $316AL $70.79
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.