How much rates vary
Facilitymedian $398 · 10th to 90th $282 to $661Professionalmedian $68 · 10th to 90th $51 to $87
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 $66.07 Median $69.18 Typical High $537.03 | Facility | None | $66.07 | $69.18 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $87.10 | Professional | None (both parts) | $66.07 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $35.48 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $42.66 | Professional | TC · Technical part | $33.11 | $33.88 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $257.04 Median $489.78 Typical High $707.95 | Facility | None | $257.04 | $489.78 | $707.95 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $56.23 | $66.07 | $83.18 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $30.20 | $38.02 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $28.18 | $36.31 | $45.71 |
Christus Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $61.66 | $70.79 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $32.36 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $38.90 | $48.98 |
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 $47.86 Median $57.54 Typical High $104.71 | Professional | None (both parts) | $47.86 | $57.54 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $28.84 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $23.44 | $28.18 | $48.98 |
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 $33.11 Median $34.67 Typical High $43.65 | Professional | 52 · Reduced service | $33.11 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $17.38 | Professional | 53 · Discontinued | $13.18 | $13.80 | $17.38 |
Where Louisiana sits
The same service costs 3.6 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· 30th of 51
$69.18
MN $141TX $38.90
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.