How much rates vary
Facilitymedian $589 · 10th to 90th $45 to $1,202Professionalmedian $407 · 10th to 90th $309 to $501
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 $389.05 Median $398.11 Typical High $446.68 | Facility | None | $389.05 | $398.11 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $371.54 | $398.11 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $57.54 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $323.59 | $338.84 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $48.98 | $51.29 | $51.29 |
BCBS Louisiana Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $1,202.26 | Facility | None | $478.63 | $851.14 | $1,202.26 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $371.54 | $436.52 | $436.52 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $50.12 | $54.95 | $54.95 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $323.59 | $380.19 | $380.19 |
Christus Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $323.59 | $346.74 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $43.65 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $302.00 | $457.09 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,398.83 | Facility | None | $977.24 | $1,288.25 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $275.42 | $331.13 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $47.86 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $234.42 | $288.40 | $489.78 |
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 $190.55 Median $199.53 Typical High $251.19 | Professional | 52 · Reduced service | $190.55 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $79.43 Typical High $100.00 | Professional | 53 · Discontinued | $75.86 | $79.43 | $100.00 |
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· 22nd of 51
$417
AK $813NM $275
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.