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 $30.90 Median $35.48 Typical High $64.57 | Facility | None | $30.90 | $35.48 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $91.20 | Facility | TC · Technical part | $22.39 | $25.70 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $30.20 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $10.72 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $20.42 | $23.44 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $2.45 | $8.32 | $9.77 |
BCBS Louisiana Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $190.55 | Facility | None | $42.66 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | None (both parts) | $35.48 | $38.02 | $39.81 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $13.18 | Professional | 26 · Professional part | $10.23 | $11.22 | $13.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $24.55 | $26.92 | $26.92 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $95.50 | Facility | None | $44.67 | $60.26 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.95 Typical High $44.67 | Professional | None (both parts) | $17.78 | $19.95 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.75 Typical High $14.45 | Professional | 26 · Professional part | $5.25 | $5.75 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $14.13 Typical High $30.90 | Professional | TC · Technical part | $12.59 | $14.13 | $30.90 |
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 $20.89 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $20.89 | $28.84 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $6.76 | $8.91 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.50 Typical High $28.84 | Professional | TC · Technical part | $13.49 | $19.50 | $28.84 |
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 $11.22 Median $16.98 Typical High $45.71 | Facility | 52 · Reduced service | $11.22 | $16.98 | $45.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $6.76 Typical High $18.20 | Facility | 53 · Discontinued | $4.47 | $6.76 | $18.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $18.20 Median $26.30 Typical High $74.13 | Facility | FX · Film X-ray | $18.20 | $26.30 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.60 Typical High $18.20 | Professional | 52 · Reduced service | $16.22 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $7.24 | Professional | 53 · Discontinued | $6.61 | $6.76 | $7.24 |
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 4.3 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· 29th 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.