How much rates vary
Facilitymedian $229 · 10th to 90th $117 to $550Professionalmedian $135 · 10th to 90th $105 to $182
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 $138.04 Median $144.54 Typical High $162.18 | Facility | None | $138.04 | $144.54 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $125.89 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $81.28 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $54.95 | $60.26 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | None (both parts) | $147.91 | $147.91 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
BCBS Louisiana Setting Facility Modifier None Typical Low $95.50 Median $263.03 Typical High $616.60 | Facility | None | $95.50 | $263.03 | $616.60 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $128.82 | $134.90 | $134.90 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $74.13 | $81.28 | $81.28 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $51.29 | $53.70 | $53.70 |
Christus Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $100.00 | $104.71 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $63.10 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $42.66 Typical High $77.62 | Professional | TC · Technical part | $38.90 | $42.66 | $77.62 |
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 $102.33 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $102.33 | $125.89 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $70.79 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $89.13 | Professional | TC · Technical part | $43.65 | $53.70 | $89.13 |
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 $64.57 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $28.84 | $36.31 |
Where Louisiana sits
The same service costs 3.8 times more in Alaska 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· 23rd of 51
$135
AK $275UT $72.44
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.