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 $85.11 Median $141.25 Typical High $154.88 | Facility | None | $85.11 | $141.25 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $331.13 | Facility | TC · Technical part | $81.28 | $112.20 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $141.25 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $52.48 | $64.57 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $81.28 | $81.28 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
BCBS Setting Facility Modifier None Typical Low $389.05 Median $2,884.03 Typical High $6,760.83 | Facility | None | $389.05 | $2,884.03 | $6,760.83 |
BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $138.04 | $147.91 | $162.18 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $66.07 | $77.62 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $77.62 | $81.28 | $93.33 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $114.82 | Facility | None | $39.81 | $39.81 | $114.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $47.86 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $380.19 | Facility | None | $144.54 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $229.09 | Professional | None (both parts) | $69.18 | $77.62 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $33.88 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $131.83 | Professional | TC · Technical part | $38.02 | $43.65 | $131.83 |
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 $107.15 Median $154.88 Typical High $524.81 | Professional | None (both parts) | $107.15 | $154.88 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $53.70 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $407.38 | Professional | TC · Technical part | $61.66 | $83.18 | $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 $40.74 Median $60.26 Typical High $165.96 | Facility | 52 · Reduced service | $40.74 | $60.26 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $23.99 Typical High $66.07 | Facility | 53 · Discontinued | $16.22 | $23.99 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $95.50 Typical High $263.03 | Facility | FX · Film X-ray | $64.57 | $95.50 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $29.51 Typical High $31.62 | Professional | 53 · Discontinued | $28.18 | $29.51 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $117.49 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $117.49 | $128.82 |
Where Louisiana sits
The same service costs 4.9 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· 37th of 51
$151
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.