How much rates vary
Facilitymedian $83 · 10th to 90th $44 to $166Professionalmedian $37 · 10th to 90th $22 to $49
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 $33.88 Median $42.66 Typical High $128.82 | Facility | None | $33.88 | $42.66 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $16.22 | Facility | 26 · Professional part | $9.77 | $10.96 | $16.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $95.50 | Facility | TC · Technical part | $27.54 | $31.62 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $48.98 | Professional | None (both parts) | $33.88 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $14.13 | Professional | 26 · Professional part | $8.51 | $10.47 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $23.44 | $28.84 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $25.12 | $30.90 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $8.32 | $8.32 | $9.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $42.66 | $42.66 |
BCBS Louisiana Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $190.55 | Facility | None | $48.98 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $46.77 | Professional | None (both parts) | $42.66 | $45.71 | $46.77 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.96 Typical High $12.59 | Professional | 26 · Professional part | $9.77 | $10.96 | $12.59 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $30.90 | $34.67 | $34.67 |
Christus Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $117.49 | Facility | None | $54.95 | $79.43 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.99 Typical High $51.29 | Professional | None (both parts) | $21.38 | $23.99 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.50 Typical High $13.80 | Professional | 26 · Professional part | $5.13 | $5.50 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.20 Typical High $38.02 | Professional | TC · Technical part | $16.22 | $18.20 | $38.02 |
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 $22.91 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $22.91 | $33.11 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $6.92 | $8.51 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $15.49 | $23.99 | $34.67 |
7 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 $13.80 Median $19.95 Typical High $56.23 | Facility | 52 · Reduced service | $13.80 | $19.95 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $7.94 Typical High $22.39 | Facility | 53 · Discontinued | $5.50 | $7.94 | $22.39 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $30.90 Typical High $89.13 | Facility | FX · Film X-ray | $21.88 | $30.90 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $18.62 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $7.41 | $7.59 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $30.20 Typical High $33.11 | Professional | FX · Film X-ray | $29.51 | $30.20 | $33.11 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $43.65 Typical High $46.77 | Professional | 50 · Both sides | $38.02 | $43.65 | $46.77 |
Where Louisiana sits
The same service costs 13.5 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· 30th of 51
$39.81
VT $389FL $28.84
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.