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 $93.33 Median $102.33 Typical High $102.33 | Facility | None | $93.33 | $102.33 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $302.00 | Facility | TC · Technical part | $74.13 | $104.71 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $85.11 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $28.84 | Professional | 26 · Professional part | $17.78 | $22.39 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $75.86 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $60.26 | $60.26 | $60.26 |
BCBS Louisiana Setting Facility Modifier None Typical Low $134.90 Median $371.54 Typical High $575.44 | Facility | None | $134.90 | $371.54 | $575.44 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $107.15 | $112.20 | $117.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.44 Typical High $27.54 | Professional | 26 · Professional part | $21.38 | $23.44 | $27.54 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $85.11 | $89.13 | $89.13 |
Christus Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $16.98 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $338.84 | Facility | None | $141.25 | $213.80 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $57.54 Typical High $125.89 | Professional | None (both parts) | $51.29 | $57.54 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $30.20 | Professional | 26 · Professional part | $10.96 | $12.02 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $45.71 | $102.33 |
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 $57.54 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $57.54 | $83.18 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.62 Typical High $28.18 | Professional | 26 · Professional part | $15.14 | $18.62 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $64.57 | $93.33 |
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 $37.15 Median $52.48 Typical High $151.36 | Facility | 52 · Reduced service | $37.15 | $52.48 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $20.89 Typical High $60.26 | Facility | 53 · Discontinued | $15.14 | $20.89 | $60.26 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $83.18 Typical High $245.47 | Facility | FX · Film X-ray | $60.26 | $83.18 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $48.98 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $48.98 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $21.38 | Professional | 53 · Discontinued | $19.05 | $19.50 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | FX · Film X-ray | $77.62 | $77.62 | $85.11 |
Where Louisiana sits
The same service costs 4.0 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· 27th of 51
$102
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.