How much rates vary
Facilitymedian $174 · 10th to 90th $141 to $347Professionalmedian $178 · 10th to 90th $74 to $229
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 $186.21 Median $199.53 Typical High $380.19 | Facility | None | $186.21 | $199.53 | $380.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $616.60 | Facility | TC · Technical part | $138.04 | $173.78 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $165.96 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $52.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $141.25 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $38.90 | $45.71 |
BCBS Louisiana Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $346.74 | Facility | None | $114.82 | $204.17 | $346.74 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $186.21 | $199.53 | $208.93 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $50.12 | $50.12 | $67.61 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $158.49 | Professional | TC · Technical part | $123.03 | $151.36 | $158.49 |
Christus Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
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 $151.36 Median $346.74 Typical High $602.56 | Facility | None | $151.36 | $346.74 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $251.19 | Professional | None (both parts) | $75.86 | $79.43 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $64.57 | Professional | 26 · Professional part | $19.50 | $19.50 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $186.21 | Professional | TC · Technical part | $52.48 | $56.23 | $186.21 |
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 $70.79 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $70.79 | $104.71 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $38.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $35.48 | $79.43 | $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 $69.18 Median $91.20 Typical High $309.03 | Facility | 52 · Reduced service | $69.18 | $91.20 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $125.89 | Facility | 53 · Discontinued | $27.54 | $37.15 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $95.50 Typical High $107.15 | Professional | 52 · Reduced service | $91.20 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $38.02 | $43.65 |
Where Louisiana sits
The same service costs 4.9 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· 24th of 51
$174
AK $468AL $95.50
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.