How much rates vary
Facilitymedian $257 · 10th to 90th $204 to $525Professionalmedian $126 · 10th to 90th $95 to $182
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 $107.15 Median $109.65 Typical High $758.58 | Facility | None | $107.15 | $109.65 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $104.71 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $30.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $75.86 | $79.43 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $79.43 Typical High $194.98 | Professional | None (both parts) | $57.54 | $79.43 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $28.18 | $39.81 |
BCBS Louisiana Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $575.44 | Facility | None | $234.42 | $354.81 | $575.44 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $125.89 | $158.49 | $158.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $42.66 | $42.66 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $117.49 | $117.49 |
Christus Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $102.33 | $128.82 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $34.67 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $77.62 | $93.33 | $144.54 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $660.69 | Facility | None | $269.15 | $363.08 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $83.18 | $114.82 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $28.18 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $85.11 | $128.82 |
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 $52.48 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $21.88 | $26.92 |
Where Louisiana sits
The same service costs 3.8 times more in Minnesota 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· 27th of 51
$129
MN $275UT $72.44
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.