How much rates vary
Facilitymedian $81 · 10th to 90th $40 to $166Professionalmedian $34 · 10th to 90th $20 to $45
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 $28.84 Median $36.31 Typical High $72.44 | Facility | None | $28.84 | $36.31 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $95.50 | Facility | TC · Technical part | $23.99 | $27.54 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $30.20 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $7.94 | $10.00 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $32.36 | Professional | TC · Technical part | $20.42 | $25.12 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $58.88 | Professional | None (both parts) | $19.05 | $22.39 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.94 Typical High $9.12 | Professional | 26 · Professional part | $7.76 | $7.94 | $9.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $44.67 Median $95.50 Typical High $190.55 | Facility | None | $44.67 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $37.15 | $39.81 | $41.69 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $12.02 | Professional | 26 · Professional part | $9.55 | $10.47 | $12.02 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $27.54 | $29.51 | $29.51 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $7.94 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $102.33 | Facility | None | $46.77 | $69.18 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $20.89 Typical High $44.67 | Professional | None (both parts) | $18.62 | $20.89 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $5.25 Typical High $13.49 | Professional | 26 · Professional part | $4.90 | $5.25 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.49 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $15.49 | $33.11 |
United Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $239.88 | Facility | None | $100.00 | $131.83 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $45.71 | Professional | None (both parts) | $20.42 | $30.20 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $12.59 | Professional | 26 · Professional part | $6.76 | $8.32 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.89 Typical High $30.20 | Professional | TC · Technical part | $14.13 | $20.89 | $30.20 |
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 $12.02 Median $17.78 Typical High $48.98 | Facility | 52 · Reduced service | $12.02 | $17.78 | $48.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $7.08 Typical High $19.50 | Facility | 53 · Discontinued | $4.79 | $7.08 | $19.50 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.50 Median $27.54 Typical High $77.62 | Facility | FX · Film X-ray | $19.50 | $27.54 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.98 Typical High $18.62 | Professional | 52 · Reduced service | $16.60 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $7.41 | Professional | 53 · Discontinued | $6.76 | $6.76 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $27.54 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $27.54 | $29.51 |
Where Louisiana sits
The same service costs 6.0 times more in Vermont 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· 26th of 51
$37.15
VT $155FL $25.70
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.