How much rates vary
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 $33.11 Median $35.48 Typical High $35.48 | Facility | None | $33.11 | $35.48 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $95.50 | Facility | TC · Technical part | $23.99 | $33.11 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $37.15 | Professional | None (both parts) | $29.51 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $10.96 | Professional | 26 · Professional part | $8.32 | $10.00 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $27.54 | Professional | TC · Technical part | $21.38 | $23.99 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $44.67 Median $95.50 Typical High $190.55 | Facility | None | $44.67 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $37.15 | $39.81 | $41.69 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $12.59 | Professional | 26 · Professional part | $10.00 | $10.96 | $12.59 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $26.30 | $28.84 | $28.84 |
Christus Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $39.81 | Facility | None | $31.62 | $31.62 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.13 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $100.00 | Facility | None | $45.71 | $64.57 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $20.89 Typical High $44.67 | Professional | None (both parts) | $18.62 | $20.89 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.75 Typical High $13.80 | Professional | 26 · Professional part | $5.25 | $5.75 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.14 Typical High $32.36 | Professional | TC · Technical part | $13.49 | $15.14 | $32.36 |
United Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $239.88 | Facility | None | $100.00 | $131.83 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $29.51 Typical High $43.65 | Professional | None (both parts) | $20.42 | $29.51 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $6.76 | $8.32 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.42 Typical High $29.51 | Professional | TC · Technical part | $13.49 | $20.42 | $29.51 |
6 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 Facility Modifier 52 · Reduced service Typical Low $11.75 Median $17.78 Typical High $47.86 | Facility | 52 · Reduced service | $11.75 | $17.78 | $47.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $7.08 Typical High $19.05 | Facility | 53 · Discontinued | $4.79 | $7.08 | $19.05 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $26.92 Typical High $77.62 | Facility | FX · Film X-ray | $19.05 | $26.92 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $18.62 | Professional | 52 · Reduced service | $16.60 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $7.41 | Professional | 53 · Discontinued | $6.61 | $6.76 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | FX · Film X-ray | $26.30 | $26.92 | $29.51 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in New York. 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· 30th of 51
$35.48
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.