How much rates vary
Facilitymedian $145 · 10th to 90th $26 to $331Professionalmedian $33 · 10th to 90th $27 to $46
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 $33.11 Median $45.71 Typical High $467.74 | Facility | None | $33.11 | $45.71 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $38.02 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $9.77 | $10.47 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.20 Typical High $38.02 | Professional | TC · Technical part | $28.84 | $30.20 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $22.91 | $26.92 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $9.55 | $9.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $338.84 | Facility | None | $123.03 | $218.78 | $338.84 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $28.18 | $33.11 | $36.31 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $11.22 | Professional | 26 · Professional part | $7.59 | $8.91 | $11.22 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $19.50 | $24.55 | $24.55 |
Christus Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $27.54 | $30.20 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $12.59 | Professional | 26 · Professional part | $8.51 | $9.55 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $20.89 | $35.48 |
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 $26.92 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $26.92 | $33.11 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $8.51 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $24.55 | $40.74 |
3 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 $19.50 Median $20.42 Typical High $25.70 | Professional | 52 · Reduced service | $19.50 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $7.94 | $8.13 | $10.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $24.55 | $24.55 | $24.55 |
Where Louisiana sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 32nd of 51
$33.88
MN $67.61TX $26.92
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.