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 $32.36 Median $36.31 Typical High $331.13 | Facility | None | $32.36 | $36.31 | $331.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $91.20 | Facility | TC · Technical part | $22.91 | $27.54 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $41.69 | Professional | None (both parts) | $28.84 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $7.94 | $10.00 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $28.84 | Professional | TC · Technical part | $19.50 | $22.91 | $28.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $23.99 Typical High $30.20 | Professional | None (both parts) | $20.89 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $9.12 | Professional | 26 · Professional part | $7.76 | $7.76 | $9.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $43.65 Median $117.49 Typical High $275.42 | Facility | None | $43.65 | $117.49 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.90 Typical High $39.81 | Professional | None (both parts) | $36.31 | $38.90 | $39.81 |
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 $26.30 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $26.30 | $28.18 | $28.18 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $97.72 | Facility | None | $44.67 | $63.10 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $19.95 Typical High $42.66 | Professional | None (both parts) | $17.78 | $19.95 | $42.66 |
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 $12.88 Median $14.79 Typical High $31.62 | Professional | TC · Technical part | $12.88 | $14.79 | $31.62 |
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 $19.95 Median $28.84 Typical High $44.67 | Professional | None (both parts) | $19.95 | $28.84 | $44.67 |
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 $13.18 Median $19.95 Typical High $28.84 | Professional | TC · Technical part | $13.18 | $19.95 | $28.84 |
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 $11.48 Median $17.38 Typical High $46.77 | Facility | 52 · Reduced service | $11.48 | $17.38 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $6.92 Typical High $18.62 | Facility | 53 · Discontinued | $4.57 | $6.92 | $18.62 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $18.20 Median $26.30 Typical High $74.13 | Facility | FX · Film X-ray | $18.20 | $26.30 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.60 Typical High $18.20 | Professional | 52 · Reduced service | $16.22 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $7.24 | Professional | 53 · Discontinued | $6.46 | $6.61 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.30 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $26.30 | $28.84 |
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· 31st of 51
$34.67
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.