How much rates vary
Facilitymedian $115 · 10th to 90th $35 to $550Professionalmedian $44 · 10th to 90th $33 to $54
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 $43.65 Median $50.12 Typical High $100.00 | Facility | None | $43.65 | $50.12 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $43.65 | $45.71 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.20 Typical High $22.91 | Professional | 26 · Professional part | $16.98 | $18.20 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $33.88 | Professional | TC · Technical part | $26.30 | $26.92 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $46.77 Typical High $50.12 | Professional | None (both parts) | $34.67 | $46.77 | $50.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $85.11 Median $263.03 Typical High $616.60 | Facility | None | $85.11 | $263.03 | $616.60 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $34.67 | $40.74 | $51.29 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $19.50 | Professional | 26 · Professional part | $13.18 | $15.49 | $19.50 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $31.62 | Professional | TC · Technical part | $21.38 | $25.12 | $31.62 |
Christus Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $38.90 | $43.65 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $16.60 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $23.44 | $26.92 | $34.67 |
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 $29.51 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $29.51 | $36.31 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $23.44 | Professional | 26 · Professional part | $12.02 | $14.79 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $21.88 | $38.02 |
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 $21.88 Median $22.39 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $11.48 | Professional | 53 · Discontinued | $8.71 | $9.12 | $11.48 |
Where Louisiana sits
The same service costs 2.7 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· 27th of 51
$43.65
MN $83.18UT $30.90
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.