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 $239.88 Median $338.84 Typical High $954.99 | Facility | None | $239.88 | $338.84 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $104.71 | Facility | 26 · Professional part | $60.26 | $66.07 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $912.01 | Facility | TC · Technical part | $162.18 | $257.04 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $213.80 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $60.26 | $60.26 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $239.88 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $64.57 | $97.72 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $53.70 | $66.07 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $74.13 | Professional | TC · Technical part | $54.95 | $64.57 | $74.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $724.44 | Facility | None | $229.09 | $446.68 | $724.44 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $229.09 | $245.47 | $323.59 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $64.57 | $74.13 | $87.10 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $173.78 | $239.88 |
Christus Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $53.70 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $562.34 | Facility | None | $239.88 | $302.00 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $107.15 Typical High $354.81 | Professional | None (both parts) | $104.71 | $107.15 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $100.00 | Professional | 26 · Professional part | $36.31 | $36.31 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $257.04 | Professional | TC · Technical part | $69.18 | $72.44 | $257.04 |
United Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $489.78 | Facility | None | $199.53 | $263.03 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $169.82 | $229.09 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $151.36 | $257.04 |
8 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 $120.23 Median $169.82 Typical High $549.54 | Facility | 52 · Reduced service | $120.23 | $169.82 | $549.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $67.61 Typical High $218.78 | Facility | 53 · Discontinued | $47.86 | $67.61 | $218.78 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $204.17 Median $288.40 Typical High $933.25 | Facility | CT · Older CT scanner | $204.17 | $288.40 | $933.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $269.15 Typical High $870.96 | Facility | FX · Film X-ray | $190.55 | $269.15 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $64.57 | Professional | 53 · Discontinued | $47.86 | $60.26 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | CT · Older CT scanner | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | FX · Film X-ray | $239.88 | $239.88 | $239.88 |
Where Louisiana sits
The same service costs 5.9 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· 28th of 51
$263
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.