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 $138.04 Median $147.91 Typical High $147.91 | Facility | None | $138.04 | $147.91 | $147.91 |
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 $134.90 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $134.90 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $53.70 | $66.07 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $74.13 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
BCBS Louisiana Setting Facility Modifier None Typical Low $398.11 Median $2,884.03 Typical High $6,760.83 | Facility | None | $398.11 | $2,884.03 | $6,760.83 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $131.83 | $141.25 | $158.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | 26 · Professional part | $63.10 | $69.18 | $79.43 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $69.18 | $74.13 | $87.10 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $52.48 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $354.81 | Facility | None | $125.89 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $223.87 | Professional | None (both parts) | $66.07 | $74.13 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $35.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $123.03 | Professional | TC · Technical part | $33.88 | $38.02 | $123.03 |
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 $102.33 Median $151.36 Typical High $524.81 | Professional | None (both parts) | $102.33 | $151.36 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $407.38 | Professional | TC · Technical part | $57.54 | $75.86 | $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 $37.15 Median $54.95 Typical High $151.36 | Facility | 52 · Reduced service | $37.15 | $54.95 | $151.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $22.39 Typical High $60.26 | Facility | 53 · Discontinued | $14.79 | $22.39 | $60.26 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $87.10 Typical High $239.88 | Facility | FX · Film X-ray | $58.88 | $87.10 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $28.18 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $112.20 Typical High $123.03 | Professional | FX · Film X-ray | $109.65 | $112.20 | $123.03 |
Where Louisiana sits
The same service costs 4.8 times more in Kansas 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· 38th of 51
$141
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.