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 $190.55 Median $208.93 Typical High $9,772.37 | Facility | None | $190.55 | $208.93 | $9,772.37 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $338.84 | Facility | TC · Technical part | $83.18 | $117.49 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $190.55 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $114.82 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $83.18 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS Louisiana Setting Facility Modifier None Typical Low $549.54 Median $3,019.95 Typical High $6,760.83 | Facility | None | $549.54 | $3,019.95 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $190.55 | $204.17 | $223.87 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $109.65 | $120.23 | $138.04 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $85.11 | $131.83 |
Christus Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 26 · Professional part | $87.10 | $87.10 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $549.54 | Facility | None | $147.91 | $234.42 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $302.00 | Professional | None (both parts) | $95.50 | $104.71 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $60.26 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $169.82 | Professional | TC · Technical part | $39.81 | $44.67 | $169.82 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $8,709.64 | Facility | None | $3,630.78 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $537.03 | Professional | None (both parts) | $141.25 | $208.93 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $407.38 | Professional | TC · Technical part | $69.18 | $89.13 | $407.38 |
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 $41.69 Median $63.10 Typical High $169.82 | Facility | 52 · Reduced service | $41.69 | $63.10 | $169.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.60 Median $25.12 Typical High $67.61 | Facility | 53 · Discontinued | $16.60 | $25.12 | $67.61 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $97.72 Typical High $269.15 | Facility | FX · Film X-ray | $67.61 | $97.72 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $100.00 Typical High $109.65 | Professional | 52 · Reduced service | $95.50 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $39.81 Typical High $43.65 | Professional | 53 · Discontinued | $38.02 | $39.81 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | FX · Film X-ray | $154.88 | $158.49 | $173.78 |
Where Louisiana sits
The same service costs 5.1 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· 35th of 51
$209
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.