How much rates vary
Facilitymedian $28 · 10th to 90th $7 to $324Professionalmedian $32 · 10th to 90th $25 to $49
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 $19.50 Median $29.51 Typical High $33.11 | Facility | None | $19.50 | $29.51 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $28.18 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $11.22 | Professional | 26 · Professional part | $8.51 | $8.91 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $27.54 | Professional | TC · Technical part | $19.50 | $20.42 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $25.12 Typical High $48.98 | Professional | None (both parts) | $18.20 | $25.12 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $7.94 | $8.32 | $11.75 |
BCBS Louisiana Setting Facility Modifier None Typical Low $21.38 Median $57.54 Typical High $354.81 | Facility | None | $21.38 | $57.54 | $354.81 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $31.62 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $31.62 | $40.74 | $40.74 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $9.55 | $12.30 | $12.30 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $22.39 | $28.18 | $28.18 |
Christus Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $26.30 | $32.36 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $10.00 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $22.91 | $32.36 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $22.39 | $30.20 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $13.18 | Professional | 26 · Professional part | $6.46 | $8.13 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $48.98 | Professional | TC · Technical part | $15.85 | $20.89 | $48.98 |
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 $14.13 Median $14.79 Typical High $18.20 | Professional | 52 · Reduced service | $14.13 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.89 Typical High $7.24 | Professional | 53 · Discontinued | $5.62 | $5.89 | $7.24 |
Where Louisiana sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 37th of 51
$32.36
MN $69.18MD $25.70
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.