How much rates vary
Facilitymedian $302 · 10th to 90th $186 to $617Professionalmedian $302 · 10th to 90th $234 to $389
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 $302.00 Median $309.03 Typical High $346.74 | Facility | None | $302.00 | $309.03 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $263.03 | $309.03 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $53.70 | $58.88 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $213.80 | $251.19 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $181.97 | $302.00 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $51.29 | Professional | 26 · Professional part | $46.77 | $48.98 | $51.29 |
BCBS Setting Facility Modifier None Typical Low $199.53 Median $426.58 Typical High $630.96 | Facility | None | $199.53 | $426.58 | $630.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $302.00 | $354.81 | $354.81 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $63.10 | $63.10 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $245.47 | $295.12 | $295.12 |
Christus Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $41.69 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $1,023.29 | Facility | None | $436.52 | $676.08 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $234.42 | $245.47 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $46.77 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $199.53 | $354.81 |
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 $223.87 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $223.87 | $275.42 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $48.98 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $229.09 Typical High $398.11 | Professional | TC · Technical part | $186.21 | $229.09 | $398.11 |
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 $147.91 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $61.66 | $77.62 |
Where Louisiana sits
The same service costs 3.0 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· 31st of 51
$302
AK $646UT $214
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.