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 $263.03 Median $602.56 Typical High $1,258.93 | Facility | None | $263.03 | $602.56 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $125.89 | Facility | 26 · Professional part | $81.28 | $109.65 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $478.63 Typical High $1,698.24 | Facility | TC · Technical part | $177.83 | $478.63 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $263.03 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $109.65 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $177.83 | $436.52 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $186.21 | $186.21 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $60.26 | $61.66 | $70.79 |
BCBS Louisiana Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $933.25 | Facility | None | $288.40 | $562.34 | $933.25 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $275.42 | $302.00 | $363.08 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $75.86 | $83.18 | $97.72 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $204.17 | $218.78 | $263.03 |
Christus Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $63.10 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $691.83 Typical High $724.44 | Facility | None | $295.12 | $691.83 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $436.52 | Professional | None (both parts) | $125.89 | $131.83 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $41.69 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $89.13 | $295.12 |
United Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $660.69 | Facility | None | $269.15 | $363.08 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $173.78 | $269.15 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $67.61 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $416.87 | Professional | TC · Technical part | $120.23 | $177.83 | $416.87 |
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 $208.93 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $208.93 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | FX · Film X-ray | $436.52 | $436.52 | $436.52 |
Where Louisiana sits
The same service costs 13.5 times more in Vermont 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
$309
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.