How much rates vary
Facilitymedian $229 · 10th to 90th $195 to $427Professionalmedian $407 · 10th to 90th $170 to $562
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 $407.38 Median $407.38 Typical High $446.68 | Facility | None | $407.38 | $407.38 | $446.68 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $436.52 Typical High $1,548.82 | Facility | TC · Technical part | $346.74 | $436.52 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $208.93 | $416.87 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $70.79 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $346.74 Typical High $549.54 | Professional | TC · Technical part | $147.91 | $346.74 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $407.38 | Facility | None | $151.36 | $281.84 | $407.38 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $467.74 | Professional | None (both parts) | $269.15 | $446.68 | $467.74 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $74.13 | $74.13 | $87.10 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $363.08 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $363.08 | $389.05 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $851.14 Typical High $1,548.82 | Facility | None | $380.19 | $851.14 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $177.83 Typical High $588.84 | Professional | None (both parts) | $117.49 | $177.83 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $102.33 | Professional | 26 · Professional part | $29.51 | $31.62 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $147.91 Typical High $489.78 | Professional | TC · Technical part | $70.79 | $147.91 | $489.78 |
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 $131.83 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $131.83 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $67.61 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $89.13 | $208.93 | $489.78 |
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 $173.78 Median $218.78 Typical High $776.25 | Facility | 52 · Reduced service | $173.78 | $218.78 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $87.10 Typical High $309.03 | Facility | 53 · Discontinued | $69.18 | $87.10 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $208.93 Typical High $239.88 | Professional | 52 · Reduced service | $125.89 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $83.18 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $83.18 | $95.50 |
Where Louisiana sits
The same service costs 9.1 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· 48th of 51
$257
AK $891AL $97.72
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.