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 $34.67 Median $38.02 Typical High $275.42 | Facility | None | $34.67 | $38.02 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $102.33 | Facility | TC · Technical part | $25.70 | $31.62 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $31.62 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $8.32 | $10.00 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $22.91 | $26.92 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | None (both parts) | $19.50 | $22.91 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $9.55 | Professional | 26 · Professional part | $7.94 | $8.32 | $9.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $190.55 | Facility | None | $46.77 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $38.90 Median $41.69 Typical High $42.66 | Professional | None (both parts) | $38.90 | $41.69 | $42.66 |
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 $30.90 Typical High $30.90 | Professional | TC · Technical part | $27.54 | $30.90 | $30.90 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $109.65 | Facility | None | $50.12 | $70.79 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.38 Typical High $46.77 | Professional | None (both parts) | $19.05 | $21.38 | $46.77 |
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 $14.13 Median $16.22 Typical High $36.31 | Professional | TC · Technical part | $14.13 | $16.22 | $36.31 |
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 $21.38 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $21.38 | $30.90 | $46.77 |
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 $14.45 Median $21.88 Typical High $32.36 | Professional | TC · Technical part | $14.45 | $21.88 | $32.36 |
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 $12.88 Median $18.62 Typical High $52.48 | Facility | 52 · Reduced service | $12.88 | $18.62 | $52.48 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $7.41 Typical High $20.89 | Facility | 53 · Discontinued | $5.13 | $7.41 | $20.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $20.42 Median $28.84 Typical High $83.18 | Facility | FX · Film X-ray | $20.42 | $28.84 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $7.76 | Professional | 53 · Discontinued | $6.92 | $7.08 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | FX · Film X-ray | $28.18 | $28.18 | $30.90 |
Where Louisiana sits
The same service costs 3.7 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· 29th of 51
$38.02
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.