How much rates vary
Facilitymedian $407 · 10th to 90th $123 to $933Professionalmedian $282 · 10th to 90th $123 to $575
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 $245.47 Median $602.56 Typical High $1,202.26 | Facility | None | $245.47 | $602.56 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $138.04 | Facility | 26 · Professional part | $87.10 | $109.65 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $478.63 Typical High $1,698.24 | Facility | TC · Technical part | $158.49 | $478.63 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $245.47 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $109.65 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $158.49 | $436.52 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $151.36 | $173.78 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $67.61 | $77.62 |
BCBS Louisiana Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $933.25 | Facility | None | $288.40 | $562.34 | $933.25 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $263.03 | $281.84 | $354.81 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $83.18 | $91.20 | $104.71 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $177.83 | $190.55 | $251.19 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $67.61 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $602.56 Typical High $812.83 | Facility | None | $257.04 | $602.56 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $426.58 | Professional | None (both parts) | $120.23 | $123.03 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $45.71 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $295.12 | Professional | TC · Technical part | $74.13 | $77.62 | $295.12 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $660.69 | Facility | None | $269.15 | $363.08 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $616.60 | Professional | None (both parts) | $165.96 | $257.04 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $58.88 | $74.13 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $407.38 | Professional | TC · Technical part | $104.71 | $158.49 | $407.38 |
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 $199.53 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $199.53 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $79.43 | $109.65 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | FX · Film X-ray | $436.52 | $436.52 | $436.52 |
Where Louisiana sits
The same service costs 24.0 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· 35th of 51
$295
VT $2,951UT $123
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.