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 $28.18 Median $46.77 Typical High $85.11 | Facility | None | $28.18 | $46.77 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $39.81 Typical High $114.82 | Facility | TC · Technical part | $28.84 | $39.81 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $33.11 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $18.62 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $28.84 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $15.49 | $18.20 | $18.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $28.18 Median $501.19 Typical High $1,202.26 | Facility | None | $28.18 | $501.19 | $1,202.26 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $41.69 Median $52.48 Typical High $56.23 | Professional | None (both parts) | $41.69 | $52.48 | $56.23 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $15.14 | $19.50 | $22.91 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.11 Typical High $33.11 | Professional | TC · Technical part | $25.70 | $33.11 | $33.11 |
Christus Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $14.45 | $15.85 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $107.15 | Facility | None | $36.31 | $56.23 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $57.54 | Professional | None (both parts) | $23.44 | $27.54 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $20.89 | Professional | 26 · Professional part | $9.12 | $10.00 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $15.85 Typical High $36.31 | Professional | TC · Technical part | $13.49 | $15.85 | $36.31 |
United Setting Facility Modifier None Typical Low $616.60 Median $831.76 Typical High $1,513.56 | Facility | None | $616.60 | $831.76 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $31.62 Typical High $51.29 | Professional | None (both parts) | $14.13 | $31.62 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $6.46 | $12.88 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $19.50 Typical High $33.11 | Professional | TC · Technical part | $6.92 | $19.50 | $33.11 |
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 $14.45 Median $21.38 Typical High $57.54 | Facility | 52 · Reduced service | $14.45 | $21.38 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $8.51 Typical High $23.44 | Facility | 53 · Discontinued | $5.75 | $8.51 | $23.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $22.91 Median $33.11 Typical High $93.33 | Facility | FX · Film X-ray | $22.91 | $33.11 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $23.44 Typical High $25.70 | Professional | 52 · Reduced service | $22.91 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $9.33 | $9.55 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $38.02 Typical High $41.69 | Professional | FX · Film X-ray | $37.15 | $38.02 | $41.69 |
Where Louisiana sits
The same service costs 9.3 times more in Alaska than in New York. 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· 21st of 51
$45.71
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.