How much rates vary
Facilitymedian $229 · 10th to 90th $120 to $550Professionalmedian $162 · 10th to 90th $123 to $214
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 $151.36 Median $162.18 Typical High $194.98 | Facility | None | $151.36 | $162.18 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $151.36 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $100.00 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $72.44 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $165.96 | $177.83 | $177.83 |
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 $154.88 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $154.88 | $162.18 | $162.18 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $89.13 | $95.50 | $95.50 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $61.66 | $64.57 | $64.57 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $120.23 | $125.89 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $75.86 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $46.77 | $51.29 | $93.33 |
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 $123.03 Median $147.91 Typical High $257.04 | Professional | None (both parts) | $123.03 | $147.91 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $83.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $52.48 | $64.57 | $104.71 |
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 $77.62 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $77.62 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $30.90 | $33.88 | $42.66 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska 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· 23rd of 51
$162
AK $339TX $85.11
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.