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 $512.86 Median $645.65 Typical High $1,258.93 | Facility | None | $512.86 | $645.65 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $199.53 | Facility | 26 · Professional part | $109.65 | $125.89 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $478.63 Typical High $1,698.24 | Facility | TC · Technical part | $416.87 | $478.63 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $426.58 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $199.53 | Professional | 26 · Professional part | $109.65 | $109.65 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $478.63 | Professional | TC · Technical part | $302.00 | $436.52 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $263.03 | $263.03 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $125.89 | Professional | 26 · Professional part | $97.72 | $109.65 | $125.89 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $263.03 | $263.03 |
BCBS Louisiana Setting Facility Modifier None Typical Low $467.74 Median $912.01 Typical High $1,412.54 | Facility | None | $467.74 | $912.01 | $1,412.54 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $467.74 Median $501.19 Typical High $660.69 | Professional | None (both parts) | $467.74 | $501.19 | $660.69 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $123.03 | $134.90 | $158.49 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $346.74 | $363.08 | $524.81 |
Christus Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $100.00 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $1,621.81 | Facility | None | $501.19 | $630.96 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $758.58 | Professional | None (both parts) | $204.17 | $218.78 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $181.97 | Professional | 26 · Professional part | $63.10 | $69.18 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $588.84 | Professional | TC · Technical part | $144.54 | $151.36 | $588.84 |
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 $354.81 Median $478.63 Typical High $1,122.02 | Professional | None (both parts) | $354.81 | $478.63 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $89.13 | $109.65 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $316.23 | $794.33 |
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 $234.42 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $234.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $93.33 | $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 5.8 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· 35th of 51
$501
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.