How much rates vary
Facilitymedian $120 · 10th to 90th $42 to $316Professionalmedian $29 · 10th to 90th $22 to $48
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 $26.92 Median $26.92 Typical High $40.74 | Facility | None | $26.92 | $26.92 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $25.70 | $26.92 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.55 Median $3.80 Typical High $4.79 | Professional | 26 · Professional part | $3.55 | $3.80 | $4.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $22.39 | $23.44 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $28.84 | Professional | None (both parts) | $18.20 | $18.20 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $3.80 Typical High $5.37 | Professional | 26 · Professional part | $2.75 | $3.80 | $5.37 |
BCBS Louisiana Setting Facility Modifier None Typical Low $41.69 Median $102.33 Typical High $354.81 | Facility | None | $41.69 | $102.33 | $354.81 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $28.84 | $37.15 | $37.15 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $5.25 Typical High $5.25 | Professional | 26 · Professional part | $4.07 | $5.25 | $5.25 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $25.12 | $32.36 | $32.36 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 26 · Professional part | $3.24 | $3.24 | $3.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $42.66 | Professional | None (both parts) | $23.44 | $29.51 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $4.27 Typical High $6.03 | Professional | 26 · Professional part | $3.39 | $4.27 | $6.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $20.89 | $25.12 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $28.84 Typical High $134.90 | Professional | None (both parts) | $20.89 | $28.84 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $3.55 Typical High $5.62 | Professional | 26 · Professional part | $2.75 | $3.55 | $5.62 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $125.89 | Professional | TC · Technical part | $17.78 | $22.91 | $125.89 |
3 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 $12.88 Median $13.49 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.37 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $5.37 | $6.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 59 · Distinct service | $21.38 | $21.38 | $21.38 |
Where Louisiana sits
The same service costs 2.9 times more in Kansas 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· 38th of 51
$31.62
KS $74.13MD $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.