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 $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $436.52 | Facility | TC · Technical part | $107.15 | $151.36 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $134.90 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $61.66 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $97.72 | $107.15 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $54.95 | $54.95 |
BCBS Louisiana Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $478.63 | Facility | None | $125.89 | $229.09 | $478.63 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $173.78 | $186.21 | $199.53 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $63.10 | $74.13 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $117.49 | $125.89 | $125.89 |
Christus Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $45.71 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $512.86 | Facility | None | $213.80 | $295.12 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $218.78 | Professional | None (both parts) | $87.10 | $95.50 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $31.62 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $64.57 | $151.36 |
United Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $489.78 | Facility | None | $199.53 | $263.03 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $87.10 | $144.54 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $45.71 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $97.72 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $97.72 | $154.88 |
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 $53.70 Median $79.43 Typical High $218.78 | Facility | 52 · Reduced service | $53.70 | $79.43 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $32.36 Typical High $87.10 | Facility | 53 · Discontinued | $21.38 | $32.36 | $87.10 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $85.11 Median $125.89 Typical High $346.74 | Facility | FX · Film X-ray | $85.11 | $125.89 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $83.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $37.15 | Professional | 53 · Discontinued | $33.11 | $33.88 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $134.90 Typical High $147.91 | Professional | FX · Film X-ray | $131.83 | $134.90 | $147.91 |
Where Louisiana sits
The same service costs 4.3 times more in Alaska 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· 24th of 51
$178
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.