How much rates vary
Facilitymedian $120 · 10th to 90th $55 to $240Professionalmedian $44 · 10th to 90th $26 to $60
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 $32.36 Median $45.71 Typical High $100.00 | Facility | None | $32.36 | $45.71 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $117.49 | Facility | TC · Technical part | $29.51 | $36.31 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $41.69 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $19.95 | Professional | 26 · Professional part | $11.48 | $14.79 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $39.81 | Professional | TC · Technical part | $28.84 | $30.90 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 26 · Professional part | $12.30 | $12.30 | $14.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $56.23 Median $117.49 Typical High $275.42 | Facility | None | $56.23 | $117.49 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $53.70 | Professional | None (both parts) | $47.86 | $51.29 | $53.70 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $18.20 | Professional | 26 · Professional part | $14.13 | $15.49 | $18.20 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $33.88 | $36.31 | $36.31 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $125.89 | Facility | None | $57.54 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.92 Typical High $60.26 | Professional | None (both parts) | $23.99 | $26.92 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $18.62 | Professional | 26 · Professional part | $7.24 | $7.94 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $18.62 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $18.62 | $42.66 |
United Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $288.40 | Facility | None | $120.23 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $28.18 | $38.90 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $16.98 | Professional | 26 · Professional part | $8.71 | $12.30 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $26.92 | $39.81 |
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 $14.79 Median $21.88 Typical High $58.88 | Facility | 52 · Reduced service | $14.79 | $21.88 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.89 Median $8.71 Typical High $23.99 | Facility | 53 · Discontinued | $5.89 | $8.71 | $23.99 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $33.88 Typical High $95.50 | Facility | FX · Film X-ray | $23.44 | $33.88 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.39 Typical High $23.99 | Professional | 52 · Reduced service | $21.88 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.91 Typical High $9.77 | Professional | 53 · Discontinued | $8.71 | $8.91 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $35.48 Typical High $38.90 | Professional | FX · Film X-ray | $34.67 | $35.48 | $38.90 |
Where Louisiana sits
The same service costs 3.7 times more in Alaska 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· 32nd of 51
$47.86
AK $123UT $33.11
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.