How much rates vary
Facilitymedian $245 · 10th to 90th $112 to $575Professionalmedian $52 · 10th to 90th $41 to $79
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 $54.95 Median $67.61 Typical High $457.09 | Facility | None | $54.95 | $67.61 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $63.10 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $16.22 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $47.86 | $51.29 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $33.11 | $38.90 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $10.00 | $11.75 | $11.75 |
BCBS Louisiana Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $616.60 | Facility | None | $125.89 | $269.15 | $616.60 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $54.95 | Professional | None (both parts) | $40.74 | $51.29 | $54.95 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $14.13 | Professional | 26 · Professional part | $11.22 | $13.18 | $14.13 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $37.15 | $41.69 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $39.81 | $43.65 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $10.47 | $11.75 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $28.84 | $31.62 | $61.66 |
United Setting Facility Modifier None Typical Low $426.58 Median $562.34 Typical High $1,047.13 | Facility | None | $426.58 | $562.34 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $44.67 | $54.95 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $13.18 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $42.66 | $69.18 |
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 $33.11 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $33.11 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $13.18 | $13.49 | $16.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 59 · Distinct service | $38.90 | $38.90 | $38.90 |
Where Louisiana sits
The same service costs 3.3 times more in Minnesota 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
$52.48
MN $105UT $31.62
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.