How much rates vary
Facilitymedian $71 · 10th to 90th $51 to $166Professionalmedian $39 · 10th to 90th $24 to $51
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 $38.90 Median $41.69 Typical High $74.13 | Facility | None | $38.90 | $41.69 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $117.49 | Facility | TC · Technical part | $28.84 | $36.31 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $52.48 | Professional | None (both parts) | $35.48 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $8.32 | $10.47 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $25.12 | $28.84 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.18 | $28.84 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $8.32 | $8.32 | $9.55 |
BCBS Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $190.55 | Facility | None | $51.29 | $95.50 | $190.55 |
BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | None (both parts) | $42.66 | $45.71 | $47.86 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $12.30 | Professional | 26 · Professional part | $9.55 | $10.47 | $12.30 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $31.62 | $35.48 | $35.48 |
Christus Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $125.89 | Facility | None | $57.54 | $79.43 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.99 Typical High $52.48 | Professional | None (both parts) | $21.38 | $23.99 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.50 Typical High $13.80 | Professional | 26 · Professional part | $5.13 | $5.50 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $18.62 | $39.81 |
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 $23.99 Median $33.88 Typical High $51.29 | Professional | None (both parts) | $23.99 | $33.88 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $8.51 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $16.60 | $25.12 | $36.31 |
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 $14.45 Median $20.42 Typical High $58.88 | Facility | 52 · Reduced service | $14.45 | $20.42 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $8.13 Typical High $23.44 | Facility | 53 · Discontinued | $5.75 | $8.13 | $23.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $33.11 Typical High $93.33 | Facility | FX · Film X-ray | $23.44 | $33.11 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | 52 · Reduced service | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.94 Typical High $8.71 | Professional | 53 · Discontinued | $7.76 | $7.94 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $31.62 Typical High $34.67 | Professional | FX · Film X-ray | $30.90 | $31.62 | $34.67 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 24th of 51
$42.66
AK $112FL $28.84
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.