How much rates vary
Facilitymedian $295 · 10th to 90th $195 to $617Professionalmedian $224 · 10th to 90th $170 to $295
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 $213.80 Median $251.19 Typical High $501.19 | Facility | None | $213.80 | $251.19 | $501.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $389.05 | Facility | TC · Technical part | $173.78 | $199.53 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $218.78 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $50.12 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $177.83 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $144.54 | $151.36 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
BCBS Louisiana Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $660.69 | Facility | None | $234.42 | $446.68 | $660.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $223.87 | $245.47 | $245.47 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $46.77 | $52.48 | $52.48 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $173.78 | $194.98 | $194.98 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $537.03 Typical High $741.31 | Facility | None | $316.23 | $537.03 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $169.82 | $181.97 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $36.31 | $38.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $134.90 | $141.25 | $251.19 |
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 $165.96 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $165.96 | $204.17 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $39.81 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $162.18 | $281.84 |
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 $109.65 Median $114.82 Typical High $144.54 | Professional | 52 · Reduced service | $109.65 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $57.54 | Professional | 53 · Discontinued | $43.65 | $45.71 | $57.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | 59 · Distinct service | $169.82 | $169.82 | $181.97 |
Where Louisiana sits
The same service costs 3.2 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· 31st of 51
$224
MN $501UT $158
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.