How much rates vary
Facilitymedian $60 · 10th to 90th $55 to $123Professionalmedian $34 · 10th to 90th $25 to $60
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 $33.11 Median $33.88 Typical High $38.02 | Facility | None | $33.11 | $33.88 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $41.69 | Professional | None (both parts) | $32.36 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $18.62 | Professional | 26 · Professional part | $14.45 | $15.14 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.62 Typical High $22.91 | Professional | TC · Technical part | $18.20 | $18.62 | $22.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $134.90 | Facility | None | $48.98 | $87.10 | $134.90 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $34.67 | Professional | None (both parts) | $25.12 | $28.84 | $34.67 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $14.45 | Professional | 26 · Professional part | $10.96 | $12.59 | $14.45 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.60 Typical High $20.42 | Professional | TC · Technical part | $14.45 | $16.60 | $20.42 |
Christus Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $39.81 | Professional | 26 · Professional part | $12.30 | $12.30 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $22.91 | $41.69 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $9.77 | $16.98 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $13.18 | $24.55 | $35.48 |
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 $24.55 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $24.55 | $34.67 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.49 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $13.49 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.50 Typical High $51.29 | Professional | TC · Technical part | $13.49 | $19.50 | $51.29 |
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 $16.22 Median $16.98 Typical High $20.89 | Professional | 52 · Reduced service | $16.22 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.76 Typical High $8.32 | Professional | 53 · Discontinued | $6.46 | $6.76 | $8.32 |
Where Louisiana sits
The same service costs 2.6 times more in Minnesota 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· 36th of 51
$34.67
MN $74.13AL $28.18
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.