How much rates vary
Facilitymedian $145 · 10th to 90th $102 to $263Professionalmedian $123 · 10th to 90th $63 to $158
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 $144.54 Typical High $239.88 | Facility | None | $123.03 | $144.54 | $239.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $51.29 | Facility | 26 · Professional part | $31.62 | $35.48 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $323.59 | Facility | TC · Technical part | $91.20 | $107.15 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $123.03 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $33.88 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $91.20 | $95.50 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $83.18 | $83.18 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $30.20 | Professional | 26 · Professional part | $23.44 | $26.30 | $30.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $275.42 | Facility | None | $112.20 | $186.21 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | None (both parts) | $125.89 | $134.90 | $141.25 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $34.67 | $39.81 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $93.33 | $100.00 | $100.00 |
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 $26.30 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $398.11 | Facility | None | $173.78 | $239.88 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $169.82 | Professional | None (both parts) | $61.66 | $69.18 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $47.86 | Professional | 26 · Professional part | $16.22 | $17.78 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $128.82 | Professional | TC · Technical part | $45.71 | $51.29 | $128.82 |
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 $70.79 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $70.79 | $107.15 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $27.54 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $79.43 | $134.90 |
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 $46.77 Median $66.07 Typical High $186.21 | Facility | 52 · Reduced service | $46.77 | $66.07 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $26.30 Typical High $75.86 | Facility | 53 · Discontinued | $18.62 | $26.30 | $75.86 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $104.71 Typical High $302.00 | Facility | FX · Film X-ray | $74.13 | $104.71 | $302.00 |
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 $100.00 Median $100.00 Typical High $109.65 | Professional | FX · Film X-ray | $100.00 | $100.00 | $109.65 |
Where Louisiana sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 31st of 51
$123
MN $363FL $89.13
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.