How much rates vary
Facilitymedian $72 · 10th to 90th $47 to $174Professionalmedian $38 · 10th to 90th $22 to $50
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 $38.02 Median $43.65 Typical High $275.42 | Facility | None | $38.02 | $43.65 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $12.88 | Facility | 26 · Professional part | $7.94 | $8.71 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $36.31 Typical High $120.23 | Facility | TC · Technical part | $30.20 | $36.31 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | None (both parts) | $34.67 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $11.22 | Professional | 26 · Professional part | $6.76 | $8.32 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $40.74 | Professional | TC · Technical part | $26.30 | $30.90 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $37.15 | Professional | None (both parts) | $25.70 | $30.20 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.46 Typical High $7.59 | Professional | 26 · Professional part | $6.31 | $6.46 | $7.59 |
BCBS Louisiana Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $190.55 | Facility | None | $47.86 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $47.86 | Professional | None (both parts) | $43.65 | $46.77 | $47.86 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $10.00 | Professional | 26 · Professional part | $7.94 | $8.71 | $10.00 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $33.88 | $38.02 | $38.02 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.61 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $128.82 | Facility | None | $60.26 | $89.13 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $24.55 Typical High $52.48 | Professional | None (both parts) | $21.88 | $24.55 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $4.37 Typical High $11.22 | Professional | 26 · Professional part | $4.07 | $4.37 | $11.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.95 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $19.95 | $40.74 |
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 $19.50 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $19.50 | $32.36 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.92 Typical High $10.47 | Professional | 26 · Professional part | $5.62 | $6.92 | $10.47 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $13.49 | $25.70 | $38.02 |
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 $15.14 Median $20.89 Typical High $61.66 | Facility | 52 · Reduced service | $15.14 | $20.89 | $61.66 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.03 Median $8.32 Typical High $24.55 | Facility | 53 · Discontinued | $6.03 | $8.32 | $24.55 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.99 Median $33.88 Typical High $97.72 | Facility | FX · Film X-ray | $23.99 | $33.88 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.76 Typical High $8.32 | Professional | 53 · Discontinued | $7.59 | $7.76 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $30.90 Typical High $33.88 | Professional | FX · Film X-ray | $30.20 | $30.90 | $33.88 |
Where Louisiana sits
The same service costs 11.5 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 $339FL $29.51
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.