How much rates vary
Facilitymedian $87 · 10th to 90th $0 to $174Professionalmedian $117 · 10th to 90th $58 to $170
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 $117.49 Median $117.49 Typical High $128.82 | Facility | None | $117.49 | $117.49 | $128.82 |
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 $72.44 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $72.44 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $35.48 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $95.50 | Professional | TC · Technical part | $52.48 | $83.18 | $95.50 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $72.44 Typical High $125.89 | Facility | None | $0.02 | $72.44 | $125.89 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $81.28 Median $144.54 Typical High $151.36 | Professional | None (both parts) | $81.28 | $144.54 | $151.36 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $39.81 | Professional | 26 · Professional part | $28.84 | $38.90 | $39.81 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $104.71 | $112.20 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $123.03 | Facility | None | $39.81 | $39.81 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $204.17 Typical High $338.84 | Facility | None | $91.20 | $204.17 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $190.55 | Professional | None (both parts) | $39.81 | $60.26 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $51.29 | Professional | 26 · Professional part | $12.88 | $15.85 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $44.67 Typical High $138.04 | Professional | TC · Technical part | $23.44 | $44.67 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $44.67 | $89.13 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $15.85 | $31.62 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $29.51 | $64.57 | $114.82 |
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 $35.48 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $35.48 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $14.45 | $23.99 | $27.54 |
Where Louisiana sits
The same service costs 4.6 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· 39th of 51
$97.72
AK $269AL $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.