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 $114.82 Median $123.03 Typical High $123.03 | Facility | None | $114.82 | $123.03 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $275.42 | Facility | TC · Technical part | $67.61 | $95.50 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $114.82 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $50.12 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $67.61 | $67.61 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Louisiana Setting Facility Modifier None Typical Low $239.88 Median $1,862.09 Typical High $4,168.69 | Facility | None | $239.88 | $1,862.09 | $4,168.69 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $125.89 | $138.04 | $144.54 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $45.71 | $51.29 | $58.88 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $81.28 | $85.11 | $85.11 |
Christus Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $37.15 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $213.80 Typical High $346.74 | Facility | None | $128.82 | $213.80 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $173.78 | Professional | None (both parts) | $63.10 | $70.79 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $26.30 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $44.67 | $100.00 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $5,495.41 | Facility | None | $2,238.72 | $2,951.21 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $363.08 | Professional | None (both parts) | $74.13 | $125.89 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $41.69 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $72.44 Typical High $257.04 | Professional | TC · Technical part | $39.81 | $72.44 | $257.04 |
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 $33.88 Median $51.29 Typical High $138.04 | Facility | 52 · Reduced service | $33.88 | $51.29 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $20.42 Typical High $54.95 | Facility | 53 · Discontinued | $13.49 | $20.42 | $54.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $79.43 Typical High $218.78 | Facility | FX · Film X-ray | $54.95 | $79.43 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $23.44 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $95.50 Typical High $102.33 | Professional | FX · Film X-ray | $91.20 | $95.50 | $102.33 |
Where Louisiana sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$138
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.