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 $9.12 Median $22.39 Typical High $41.69 | Facility | None | $9.12 | $22.39 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $13.49 Typical High $37.15 | Facility | TC · Technical part | $9.12 | $13.49 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $21.38 Typical High $25.12 | Professional | None (both parts) | $20.42 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $9.77 | $12.30 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.55 Typical High $11.75 | Professional | TC · Technical part | $9.12 | $9.55 | $11.75 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
BCBS Louisiana Setting Facility Modifier None Typical Low $28.18 Median $95.50 Typical High $190.55 | Facility | None | $28.18 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None (both parts) | $21.38 | $22.91 | $25.12 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $11.48 | $12.59 | $14.79 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.23 Typical High $10.96 | Professional | TC · Technical part | $9.77 | $10.23 | $10.96 |
Christus Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $9.33 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $43.65 | Facility | None | $16.22 | $25.12 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $12.30 Typical High $32.36 | Professional | None (both parts) | $11.22 | $12.30 | $32.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.61 Typical High $16.22 | Professional | 26 · Professional part | $6.03 | $6.61 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $5.62 Typical High $15.14 | Professional | TC · Technical part | $5.01 | $5.62 | $15.14 |
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 $15.49 Median $21.88 Typical High $37.15 | Professional | None (both parts) | $15.49 | $21.88 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $10.23 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $9.33 Typical High $19.05 | Professional | TC · Technical part | $6.76 | $9.33 | $19.05 |
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 $4.57 Median $6.92 Typical High $18.62 | Facility | 52 · Reduced service | $4.57 | $6.92 | $18.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.82 Median $2.75 Typical High $7.41 | Facility | 53 · Discontinued | $1.82 | $2.75 | $7.41 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $7.24 Median $10.72 Typical High $29.51 | Facility | FX · Film X-ray | $7.24 | $10.72 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $10.72 Typical High $11.75 | Professional | 52 · Reduced service | $10.47 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.27 Typical High $4.68 | Professional | 53 · Discontinued | $4.17 | $4.27 | $4.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $17.38 Typical High $19.05 | Professional | FX · Film X-ray | $16.60 | $17.38 | $19.05 |
Where Louisiana sits
The same service costs 3.6 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· 35th of 51
$22.39
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.