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 $134.90 Median $141.25 Typical High $144.54 | Facility | None | $134.90 | $141.25 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $416.87 | Facility | TC · Technical part | $102.33 | $144.54 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | None (both parts) | $131.83 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $36.31 | Professional | 26 · Professional part | $27.54 | $33.11 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | TC · Technical part | $102.33 | $102.33 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $75.86 | $75.86 | $89.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $165.96 Median $436.52 Typical High $851.14 | Facility | None | $165.96 | $436.52 | $851.14 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $151.36 | $162.18 | $169.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $34.67 | $40.74 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $128.82 | $128.82 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $25.70 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $295.12 Typical High $467.74 | Facility | None | $194.98 | $295.12 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $74.13 | $83.18 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $17.78 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $64.57 | $141.25 |
United Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $977.24 | Facility | None | $398.11 | $524.81 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $75.86 | $114.82 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $27.54 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $52.48 | $89.13 | $128.82 |
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 $51.29 Median $72.44 Typical High $208.93 | Facility | 52 · Reduced service | $51.29 | $72.44 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $28.84 Typical High $83.18 | Facility | 53 · Discontinued | $20.89 | $28.84 | $83.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $114.82 Typical High $338.84 | Facility | FX · Film X-ray | $83.18 | $114.82 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | FX · Film X-ray | $107.15 | $109.65 | $120.23 |
Where Louisiana sits
The same service costs 4.2 times more in Alaska than in New York. 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· 25th of 51
$145
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.