How much rates vary
Facilitymedian $209 · 10th to 90th $0 to $6,310Professionalmedian $324 · 10th to 90th $269 to $501
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 $346.74 Median $2,511.89 Typical High $3,890.45 | Facility | None | $346.74 | $2,511.89 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $389.05 | Professional | None (both parts) | $302.00 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $144.54 | Professional | 26 · Professional part | $104.71 | $117.49 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $199.53 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $147.91 | $147.91 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $4,677.35 Typical High $8,912.51 | Facility | None | $0.02 | $4,677.35 | $8,912.51 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $309.03 | $398.11 | $398.11 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $125.89 | $162.18 | $162.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $186.21 | $234.42 | $234.42 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $269.15 | $346.74 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $128.82 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $218.78 | $316.23 |
United Setting Facility Modifier None Typical Low $89.13 Median $346.74 Typical High $1,202.26 | Facility | None | $89.13 | $346.74 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $263.03 | $316.23 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $91.20 | $112.20 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $204.17 | $323.59 |
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 $151.36 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $61.66 | $77.62 |
Where Louisiana sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 34th of 51
$316
WI $891HI $138
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.