How much rates vary
Facilitymedian $178 · 10th to 90th $93 to $525Professionalmedian $145 · 10th to 90th $112 to $191
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 $144.54 Median $147.91 Typical High $165.96 | Facility | None | $144.54 | $147.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $141.25 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $32.36 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $112.20 | $114.82 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
BCBS Setting Facility Modifier None Typical Low $138.04 Median $269.15 Typical High $588.84 | Facility | None | $138.04 | $269.15 | $588.84 |
BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $144.54 | $162.18 | $162.18 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $33.11 | $33.11 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $128.82 | $128.82 |
Christus Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $676.08 | Facility | None | $208.93 | $346.74 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $112.20 | $117.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $23.99 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $95.50 | $162.18 |
United Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $288.40 | Facility | None | $120.23 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $107.15 | $131.83 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $109.65 | $177.83 |
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 $70.79 Median $74.13 Typical High $93.33 | Professional | 52 · Reduced service | $70.79 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $29.51 | $37.15 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska 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· 37th of 51
$145
AK $316UT $95.50
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.