How much rates vary
Facilitymedian $209 · 10th to 90th $132 to $398Professionalmedian $151 · 10th to 90th $117 to $200
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 $141.25 Median $151.36 Typical High $169.82 | Facility | None | $141.25 | $151.36 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $144.54 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $24.55 | $28.18 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $117.49 | $123.03 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $75.86 | $117.49 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $24.55 | Professional | 26 · Professional part | $19.95 | $23.44 | $24.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $407.38 | Facility | None | $141.25 | $275.42 | $407.38 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $151.36 | $169.82 | $169.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $26.92 | $30.20 | $30.20 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $125.89 | $138.04 | $138.04 |
Christus Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $676.08 | Facility | None | $218.78 | $371.54 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $117.49 | $125.89 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $21.88 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $97.72 | $102.33 | $181.97 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Facility | None | $245.47 | $323.59 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $239.88 | Professional | None (both parts) | $109.65 | $134.90 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $22.91 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $114.82 | $199.53 |
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 $74.13 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $30.20 | $38.02 |
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· 35th of 51
$151
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.