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 $416.87 Median $741.31 Typical High $1,202.26 | Facility | None | $416.87 | $741.31 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $208.93 | Facility | 26 · Professional part | $109.65 | $123.03 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $1,698.24 | Facility | TC · Technical part | $309.03 | $478.63 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $416.87 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $109.65 | $109.65 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $281.84 | $436.52 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $245.47 | $288.40 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $104.71 | $131.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $239.88 | $239.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,412.54 | Facility | None | $467.74 | $912.01 | $1,412.54 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $436.52 | $467.74 | $588.84 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $125.89 | $141.25 | $162.18 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $331.13 | $416.87 |
Christus Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $104.71 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $1,621.81 | Facility | None | $446.68 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $645.65 | Professional | None (both parts) | $199.53 | $208.93 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $70.79 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $426.58 | Professional | TC · Technical part | $128.82 | $134.90 | $426.58 |
United Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $977.24 | Facility | None | $398.11 | $524.81 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $275.42 | $436.52 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $114.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $186.21 | $281.84 | $812.83 |
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 $218.78 Median $309.03 Typical High $1,023.29 | Facility | 52 · Reduced service | $218.78 | $309.03 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $123.03 Typical High $416.87 | Facility | 53 · Discontinued | $87.10 | $123.03 | $416.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $354.81 Median $489.78 Typical High $1,659.59 | Facility | FX · Film X-ray | $354.81 | $489.78 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $109.65 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | FX · Film X-ray | $436.52 | $436.52 | $478.63 |
Where Louisiana sits
The same service costs 6.6 times more in Vermont 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· 37th of 51
$468
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.