How much rates vary
Facilitymedian $229 · 10th to 90th $25 to $832Professionalmedian $89 · 10th to 90th $50 to $186
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 $51.29 Median $85.11 Typical High $575.44 | Facility | None | $51.29 | $85.11 | $575.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $208.93 | Facility | TC · Technical part | $51.29 | $70.79 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $79.43 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $30.20 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $53.70 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $20.42 | $20.42 | $26.92 |
BCBS Louisiana Setting Facility Modifier None Typical Low $199.53 Median $407.38 Typical High $977.24 | Facility | None | $199.53 | $407.38 | $977.24 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $120.23 | Professional | None (both parts) | $89.13 | $95.50 | $120.23 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $31.62 | $36.31 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $64.57 | $75.86 |
Christus Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $24.55 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $446.68 | Facility | None | $102.33 | $162.18 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $144.54 | Professional | None (both parts) | $44.67 | $50.12 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $34.67 | Professional | 26 · Professional part | $14.79 | $16.22 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $114.82 | Professional | TC · Technical part | $29.51 | $33.88 | $114.82 |
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 $69.18 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $69.18 | $102.33 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $13.80 | $23.44 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $75.86 Typical High $251.19 | Professional | TC · Technical part | $43.65 | $75.86 | $251.19 |
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 $25.70 Median $38.02 Typical High $104.71 | Facility | 52 · Reduced service | $25.70 | $38.02 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $15.14 Typical High $41.69 | Facility | 53 · Discontinued | $10.23 | $15.14 | $41.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $40.74 Median $60.26 Typical High $165.96 | Facility | FX · Film X-ray | $40.74 | $60.26 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $17.78 | Professional | 53 · Discontinued | $15.85 | $16.22 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $64.57 Typical High $70.79 | Professional | FX · Film X-ray | $63.10 | $64.57 | $70.79 |
Where Louisiana sits
The same service costs 5.4 times more in New York than in Texas. 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· 42nd of 51
$93.33
NY $355TX $66.07
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.