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 $549.54 Median $891.25 Typical High $1,584.89 | Facility | None | $549.54 | $891.25 | $1,584.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $616.60 Typical High $2,041.74 | Facility | TC · Technical part | $436.52 | $616.60 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $389.05 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $125.89 | Professional | 26 · Professional part | $100.00 | $109.65 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $436.52 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
BCBS Louisiana Setting Facility Modifier None Typical Low $426.58 Median $776.25 Typical High $1,096.48 | Facility | None | $426.58 | $776.25 | $1,096.48 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $363.08 | $389.05 | $512.86 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $114.82 | Professional | 26 · Professional part | $89.13 | $100.00 | $114.82 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $295.12 | $416.87 |
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 $72.44 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $72.44 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $933.25 | Facility | None | $398.11 | $501.19 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $630.96 | Professional | None (both parts) | $162.18 | $169.82 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $50.12 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $120.23 | $478.63 |
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 $275.42 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $275.42 | $371.54 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $81.28 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $251.19 | $478.63 |
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 $218.78 Median $309.03 Typical High $1,023.29 | Facility | 52 · Reduced service | $218.78 | $309.03 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $123.03 Typical High $416.87 | Facility | 53 · Discontinued | $87.10 | $123.03 | $416.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $354.81 Median $489.78 Typical High $1,659.59 | Facility | FX · Film X-ray | $354.81 | $489.78 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $213.80 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $109.65 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | FX · Film X-ray | $436.52 | $436.52 | $478.63 |
Where Louisiana sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 37th of 51
$398
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.