How much rates vary
Facilitymedian $76 · 10th to 90th $41 to $135Professionalmedian $74 · 10th to 90th $54 to $115
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 $30.90 Median $38.02 Typical High $85.11 | Facility | None | $30.90 | $38.02 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $74.13 Typical High $93.33 | Professional | None (both parts) | $72.44 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $44.67 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $38.02 | Professional | TC · Technical part | $29.51 | $30.90 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $40.74 Median $81.28 Typical High $138.04 | Facility | None | $40.74 | $81.28 | $138.04 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $52.48 | $63.10 | $114.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $38.02 | $60.26 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $23.44 | $54.95 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $51.29 | $91.20 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $47.86 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $38.02 | $63.10 |
United Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $104.71 | Facility | None | $42.66 | $56.23 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $104.71 | Professional | None (both parts) | $52.48 | $70.79 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $39.81 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $26.30 | $38.02 |
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 $36.31 Median $37.15 Typical High $46.77 | Professional | 52 · Reduced service | $36.31 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $18.62 | Professional | 53 · Discontinued | $14.45 | $15.14 | $18.62 |
Where Louisiana sits
The same service costs 3.3 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· 30th of 51
$74.13
AK $162UT $48.98
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.