How much rates vary
Facilitymedian $49 · 10th to 90th $10 to $93Professionalmedian $81 · 10th to 90th $56 to $129
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 $79.43 Median $83.18 Typical High $173.78 | Facility | None | $79.43 | $83.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $79.43 | $81.28 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $45.71 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $44.67 | Professional | TC · Technical part | $33.88 | $35.48 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $70.79 | $77.62 | $93.33 |
BCBS Louisiana Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $100.00 | Facility | None | $36.31 | $69.18 | $100.00 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $53.70 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $53.70 | $64.57 | $128.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $38.90 | $63.10 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $67.61 | Professional | TC · Technical part | $20.89 | $23.99 | $67.61 |
Christus Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $57.54 | $97.72 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $50.12 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $28.18 | $45.71 | $75.86 |
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 $66.07 Typical High $102.33 | Professional | None (both parts) | $52.48 | $66.07 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $38.90 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $27.54 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $27.54 | $44.67 |
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 $38.90 Median $40.74 Typical High $50.12 | Professional | 52 · Reduced service | $38.90 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $19.95 | Professional | 53 · Discontinued | $15.85 | $16.22 | $19.95 |
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· 26th of 51
$79.43
AK $182NY $53.70
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.