How much rates vary
Facilitymedian $155 · 10th to 90th $117 to $355Professionalmedian $95 · 10th to 90th $71 to $123
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 $93.33 Median $109.65 Typical High $213.80 | Facility | None | $93.33 | $109.65 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $93.33 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $15.85 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $77.62 | $81.28 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $63.10 | $74.13 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $13.49 Typical High $16.98 | Professional | 26 · Professional part | $9.77 | $13.49 | $16.98 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $234.42 Typical High $371.54 | Facility | None | $123.03 | $234.42 | $371.54 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $95.50 | $107.15 | $107.15 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $14.45 | $16.60 | $16.60 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $81.28 | $91.20 | $91.20 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $676.08 | Facility | None | $144.54 | $245.47 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $74.13 | $79.43 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $12.30 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $66.07 | $117.49 |
United Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Facility | None | $151.36 | $199.53 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $67.61 | $87.10 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $12.88 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $75.86 | $131.83 |
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 $46.77 Median $47.86 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $19.50 | $23.99 |
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· 39th of 51
$95.50
AK $209UT $63.10
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.