How much rates vary
Facilitymedian $166 · 10th to 90th $135 to $363Professionalmedian $151 · 10th to 90th $126 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 $151.36 Median $169.82 Typical High $338.84 | Facility | None | $151.36 | $169.82 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $138.04 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $32.36 | $40.74 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
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 $28.84 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 $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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
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 $257.04 Median $436.52 Typical High $676.08 | Facility | None | $257.04 | $436.52 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $131.83 | $141.25 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $23.44 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $114.82 | $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 $257.04 | Professional | None (both parts) | $123.03 | $151.36 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $12.30 | $23.44 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $125.89 | $229.09 |
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 3.7 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· 36th of 51
$151
AK $363UT $97.72
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.