How much rates vary
Facilitymedian $229 · 10th to 90th $129 to $398Professionalmedian $151 · 10th to 90th $129 to $209
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 $151.36 Median $154.88 Typical High $173.78 | Facility | None | $151.36 | $154.88 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $151.36 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $31.62 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $120.23 | $123.03 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
BCBS Louisiana Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $371.54 | Facility | None | $128.82 | $229.09 | $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 $28.84 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $28.84 | $32.36 | $32.36 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $120.23 | $134.90 | $134.90 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $436.52 Typical High $676.08 | Facility | None | $251.19 | $436.52 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $131.83 | $138.04 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $23.99 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $109.65 | $114.82 | $186.21 |
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 $125.89 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $125.89 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $104.71 | $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 $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.20 | $30.90 | $38.90 |
Where Louisiana sits
The same service costs 3.8 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· 38th of 51
$155
AK $363UT $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.