How much rates vary
Facilitymedian $174 · 10th to 90th $102 to $363Professionalmedian $151 · 10th to 90th $129 to $214
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 $147.91 Median $169.82 Typical High $338.84 | Facility | None | $147.91 | $169.82 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $154.88 | Facility | TC · Technical part | $120.23 | $138.04 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $147.91 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $30.90 | $38.90 |
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 $93.33 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $93.33 | $107.15 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $24.55 | $32.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $239.88 Typical High $371.54 | Facility | None | $138.04 | $239.88 | $371.54 |
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 $28.18 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $32.36 | $32.36 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $123.03 | $134.90 | $134.90 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
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 $251.19 Median $426.58 Typical High $676.08 | Facility | None | $251.19 | $426.58 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $128.82 | $138.04 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $23.44 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $112.20 | $199.53 |
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 $123.03 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $123.03 | $151.36 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $128.82 | $218.78 |
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 $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $38.90 |
Where Louisiana sits
The same service costs 3.7 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· 42nd of 51
$151
AK $355UT $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.