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 $138.04 Median $144.54 Typical High $426.58 | Facility | None | $138.04 | $144.54 | $426.58 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $144.54 Typical High $426.58 | Facility | TC · Technical part | $104.71 | $144.54 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $134.90 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $38.02 | Professional | 26 · Professional part | $28.18 | $34.67 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $104.71 | $104.71 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $162.18 Median $457.09 Typical High $977.24 | Facility | None | $162.18 | $457.09 | $977.24 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $144.54 | $154.88 | $162.18 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $35.48 | $40.74 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $107.15 | $120.23 | $120.23 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $125.89 | Facility | None | $39.81 | $39.81 | $125.89 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $25.70 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Facility | None | $194.98 | $288.40 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $169.82 | Professional | None (both parts) | $70.79 | $79.43 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $45.71 | Professional | 26 · Professional part | $16.60 | $17.78 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $61.66 | $138.04 |
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 $77.62 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $77.62 | $120.23 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $28.18 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $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 $52.48 Median $72.44 Typical High $213.80 | Facility | 52 · Reduced service | $52.48 | $72.44 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $29.51 Typical High $85.11 | Facility | 53 · Discontinued | $20.89 | $29.51 | $85.11 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $117.49 Typical High $338.84 | Facility | FX · Film X-ray | $83.18 | $117.49 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $67.61 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $27.54 | $27.54 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $112.20 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $112.20 | $120.23 |
Where Louisiana sits
The same service costs 3.9 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· 27th 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.