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 $123.03 Median $131.83 Typical High $338.84 | Facility | None | $123.03 | $131.83 | $338.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $354.81 | Facility | TC · Technical part | $87.10 | $123.03 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $123.03 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $38.02 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $87.10 | $87.10 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
BCBS Louisiana Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $275.42 | Facility | None | $109.65 | $158.49 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $128.82 | $138.04 | $144.54 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $36.31 | $39.81 | $46.77 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $93.33 | $97.72 | $97.72 |
Christus Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $29.51 | Professional | 26 · Professional part | $27.54 | $27.54 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $389.05 | Facility | None | $165.96 | $229.09 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $169.82 | Professional | None (both parts) | $63.10 | $69.18 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $53.70 | Professional | 26 · Professional part | $18.20 | $19.95 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $50.12 | $120.23 |
United Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $288.40 | Facility | None | $120.23 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $75.86 | $107.15 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $23.99 | $30.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $75.86 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $75.86 | $131.83 |
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 $43.65 Median $66.07 Typical High $177.83 | Facility | 52 · Reduced service | $43.65 | $66.07 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $26.30 Typical High $70.79 | Facility | 53 · Discontinued | $17.38 | $26.30 | $70.79 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $100.00 Typical High $281.84 | Facility | FX · Film X-ray | $70.79 | $100.00 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $27.54 | Professional | 53 · Discontinued | $24.55 | $25.12 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $100.00 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $100.00 | $109.65 |
Where Louisiana sits
The same service costs 3.9 times more in Alaska than in Texas. 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
$129
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.