How much rates vary
Facilitymedian $28 · 10th to 90th $0 to $132Professionalmedian $34 · 10th to 90th $27 to $42
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 $35.48 Median $36.31 Typical High $41.69 | Facility | None | $35.48 | $36.31 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $33.11 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $22.91 | Professional | 26 · Professional part | $16.60 | $18.62 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $22.39 | Professional | TC · Technical part | $16.22 | $18.62 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $89.13 Typical High $144.54 | Facility | None | $0.02 | $89.13 | $144.54 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | None (both parts) | $32.36 | $33.88 | $35.48 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $16.22 | $16.98 | $17.38 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $18.62 | Professional | TC · Technical part | $16.22 | $17.38 | $18.62 |
Christus Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $30.90 | Professional | None (both parts) | $26.92 | $28.18 | $30.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $14.79 | Professional | 26 · Professional part | $13.18 | $13.80 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.45 Typical High $15.85 | Professional | TC · Technical part | $13.80 | $14.45 | $15.85 |
United Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $165.96 | Facility | None | $67.61 | $89.13 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.84 Typical High $42.66 | Professional | None (both parts) | $22.39 | $28.84 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $14.13 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $15.49 Typical High $23.44 | Professional | TC · Technical part | $11.48 | $15.49 | $23.44 |
2 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 Professional Modifier 52 · Reduced service Typical Low $16.60 Median $18.62 Typical High $22.91 | Professional | 52 · Reduced service | $16.60 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $9.12 | Professional | 53 · Discontinued | $6.61 | $7.41 | $9.12 |
Where Louisiana sits
The same service costs 3.4 times more in Alaska than in New York. 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· 33rd of 51
$33.11
AK $87.10NY $25.70
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.