How much rates vary
Facilitymedian $89 · 10th to 90th $42 to $166Professionalmedian $35 · 10th to 90th $21 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 $35.48 Median $39.81 Typical High $138.04 | Facility | None | $35.48 | $39.81 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $104.71 | Facility | TC · Technical part | $26.30 | $30.20 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $50.12 | Professional | None (both parts) | $33.11 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $8.91 | $10.00 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $23.99 | $26.92 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $51.29 | Professional | None (both parts) | $22.39 | $30.90 | $51.29 |
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 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $38.90 | $38.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $45.71 Median $95.50 Typical High $190.55 | Facility | None | $45.71 | $95.50 | $190.55 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $38.90 Median $41.69 Typical High $43.65 | Professional | None (both parts) | $38.90 | $41.69 | $43.65 |
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 $29.51 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $29.51 | $31.62 | $31.62 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $7.94 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $109.65 | Facility | None | $51.29 | $70.79 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.38 Typical High $48.98 | Professional | None (both parts) | $19.50 | $21.38 | $48.98 |
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 $14.45 Median $16.22 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $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 $22.91 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $22.91 | $31.62 | $47.86 |
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 $16.22 Median $22.91 Typical High $33.11 | Professional | TC · Technical part | $16.22 | $22.91 | $33.11 |
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 $13.18 Median $19.05 Typical High $53.70 | Facility | 52 · Reduced service | $13.18 | $19.05 | $53.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $7.59 Typical High $21.38 | Facility | 53 · Discontinued | $5.25 | $7.59 | $21.38 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $20.89 Median $30.20 Typical High $85.11 | Facility | FX · Film X-ray | $20.89 | $30.20 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $17.78 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $7.08 | $7.24 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $28.84 Typical High $31.62 | Professional | FX · Film X-ray | $28.84 | $28.84 | $31.62 |
Where Louisiana sits
The same service costs 12.9 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· 28th of 51
$38.02
VT $347FL $26.92
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.