How much rates vary
Facilitymedian $24 · 10th to 90th $0 to $129Professionalmedian $47 · 10th to 90th $37 to $59
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 $51.29 Median $52.48 Typical High $85.11 | Facility | None | $51.29 | $52.48 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $46.77 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $25.12 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $33.88 | Professional | TC · Technical part | $23.99 | $27.54 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
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 $44.67 Median $47.86 Typical High $50.12 | Professional | None (both parts) | $44.67 | $47.86 | $50.12 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $22.39 | Professional | 26 · Professional part | $21.38 | $21.88 | $22.39 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | TC · Technical part | $23.99 | $26.30 | $28.18 |
Christus Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $38.02 | $39.81 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | 26 · Professional part | $17.38 | $18.20 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $23.99 | Professional | TC · Technical part | $20.42 | $21.38 | $23.99 |
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 $31.62 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $31.62 | $39.81 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $18.62 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $23.44 | $33.11 |
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 $22.91 Median $26.30 Typical High $32.36 | Professional | 52 · Reduced service | $22.91 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.47 Typical High $12.88 | Professional | 53 · Discontinued | $9.33 | $10.47 | $12.88 |
Where Louisiana sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 37th of 51
$46.77
AK $123UT $36.31
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.