How much rates vary
Facilitymedian $2 · 10th to 90th $0 to $309Professionalmedian $141 · 10th to 90th $59 to $224
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 $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $363.08 | Facility | TC · Technical part | $81.28 | $100.00 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $60.26 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $81.28 | $91.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $1.35 Typical High $295.12 | Facility | None | $0.02 | $1.35 | $295.12 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $141.25 | $141.25 | $204.17 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $61.66 | $61.66 | $87.10 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $81.28 | $117.49 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $114.82 | Facility | None | $39.81 | $39.81 | $114.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $199.53 Typical High $354.81 | Facility | None | $81.28 | $199.53 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $204.17 | Professional | None (both parts) | $56.23 | $58.88 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $87.10 | Professional | 26 · Professional part | $23.99 | $26.30 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $117.49 | Professional | TC · Technical part | $31.62 | $33.88 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $75.86 | $144.54 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $63.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $45.71 | $83.18 | $141.25 |
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 $40.74 Median $53.70 Typical High $181.97 | Facility | 52 · Reduced service | $40.74 | $53.70 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $21.38 Typical High $72.44 | Facility | 53 · Discontinued | $16.22 | $21.38 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $28.18 | $28.18 | $33.11 |
Where Louisiana sits
The same service costs 5.8 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· 28th of 51
$141
AK $339AL $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.