How much rates vary
Facilitymedian $282 · 10th to 90th $263 to $575Professionalmedian $490 · 10th to 90th $355 to $617
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 $467.74 Median $537.03 Typical High $1,000.00 | Facility | None | $467.74 | $537.03 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $416.87 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $70.79 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $371.54 | $416.87 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $426.58 | $537.03 | $575.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $61.66 | $74.13 | $74.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $229.09 Median $416.87 Typical High $616.60 | Facility | None | $229.09 | $416.87 | $616.60 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $446.68 | $524.81 | $524.81 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $69.18 | $69.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $389.05 | $457.09 | $457.09 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $389.05 | $416.87 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $363.08 Typical High $562.34 | Professional | TC · Technical part | $338.84 | $363.08 | $562.34 |
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 $154.88 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $154.88 | $389.05 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $93.33 | $338.84 | $602.56 |
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 $234.42 Median $245.47 Typical High $309.03 | Professional | 52 · Reduced service | $234.42 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $123.03 | Professional | 53 · Discontinued | $95.50 | $97.72 | $123.03 |
Where Louisiana sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 25th of 51
$479
AK $933NM $309
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.