How much rates vary
Facilitymedian $195 · 10th to 90th $155 to $562Professionalmedian $76 · 10th to 90th $60 to $120
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 $74.13 Median $75.86 Typical High $85.11 | Facility | None | $74.13 | $75.86 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $74.13 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $19.05 | $22.91 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $51.29 | $53.70 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
BCBS Louisiana Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $602.56 | Facility | None | $169.82 | $316.23 | $602.56 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $74.13 | $79.43 | $79.43 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $22.39 | $22.39 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $52.48 | $56.23 | $56.23 |
Christus Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $61.66 Typical High $128.82 | Professional | None (both parts) | $57.54 | $61.66 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.38 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $17.38 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $44.67 | $95.50 |
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 $54.95 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $54.95 | $91.20 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $19.05 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $42.66 | $72.44 | $123.03 |
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 $37.15 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $15.14 | $19.05 |
Where Louisiana sits
The same service costs 3.2 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· 31st of 51
$79.43
AK $162TX $51.29
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.