How much rates vary
Facilitymedian $240 · 10th to 90th $126 to $589Professionalmedian $141 · 10th to 90th $110 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 $138.04 Median $144.54 Typical High $162.18 | Facility | None | $138.04 | $144.54 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $138.04 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $75.86 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $67.61 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $234.42 | Professional | None (both parts) | $81.28 | $81.28 | $234.42 |
BCBS Louisiana Setting Facility Modifier None Typical Low $138.04 Median $269.15 Typical High $588.84 | Facility | None | $138.04 | $269.15 | $588.84 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $141.25 | $158.49 | $158.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $72.44 | $83.18 | $83.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $66.07 | $74.13 | $74.13 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $54.95 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $676.08 | Facility | None | $117.49 | $204.17 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $109.65 | $117.49 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $61.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $54.95 Typical High $93.33 | Professional | TC · Technical part | $52.48 | $54.95 | $93.33 |
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 $104.71 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $104.71 | $141.25 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $63.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $48.98 | $64.57 | $117.49 |
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 $69.18 Median $72.44 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $28.84 | $36.31 |
Where Louisiana sits
The same service costs 4.6 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
$145
AK $316UT $69.18
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.