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 $41.69 Median $57.54 Typical High $165.96 | Facility | None | $41.69 | $57.54 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $165.96 | Facility | TC · Technical part | $41.69 | $57.54 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $61.66 | Professional | None (both parts) | $48.98 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $11.22 | $14.45 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $47.86 | Professional | TC · Technical part | $37.15 | $41.69 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
BCBS Louisiana Setting Facility Modifier None Typical Low $60.26 Median $95.50 Typical High $190.55 | Facility | None | $60.26 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $66.07 | Professional | None (both parts) | $60.26 | $64.57 | $66.07 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $17.38 | Professional | 26 · Professional part | $13.49 | $14.79 | $17.38 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $46.77 | $48.98 | $48.98 |
Christus Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $11.22 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $177.83 | Facility | None | $81.28 | $114.82 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $75.86 | Professional | None (both parts) | $30.20 | $33.88 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.41 Typical High $19.05 | Professional | 26 · Professional part | $6.92 | $7.41 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $26.30 | $57.54 |
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 $34.67 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $34.67 | $48.98 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $12.02 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $36.31 | $52.48 |
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 $20.89 Median $29.51 Typical High $83.18 | Facility | 52 · Reduced service | $20.89 | $29.51 | $83.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.32 Median $11.75 Typical High $33.88 | Facility | 53 · Discontinued | $8.32 | $11.75 | $33.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $33.11 Median $46.77 Typical High $134.90 | Facility | FX · Film X-ray | $33.11 | $46.77 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $28.18 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $11.22 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | FX · Film X-ray | $43.65 | $44.67 | $48.98 |
Where Louisiana sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 28th of 51
$58.88
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.