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 $91.20 Typical High $346.74 | Facility | None | $85.11 | $91.20 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $213.80 | Facility | TC · Technical part | $52.48 | $63.10 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $45.71 | $52.48 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $120.23 | Professional | None (both parts) | $41.69 | $54.95 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $26.30 | $26.92 | $31.62 |
BCBS Louisiana Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $275.42 | Facility | None | $114.82 | $173.78 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $66.07 | $70.79 | $100.00 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $40.74 | Professional | 26 · Professional part | $31.62 | $34.67 | $40.74 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $36.31 | $67.61 |
Christus Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $275.42 | Facility | None | $69.18 | $114.82 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $117.49 | Professional | None (both parts) | $33.88 | $37.15 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $46.77 | Professional | 26 · Professional part | $16.60 | $17.78 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.50 Typical High $77.62 | Professional | TC · Technical part | $17.38 | $19.50 | $77.62 |
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 $61.66 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $61.66 | $74.13 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $21.38 | $27.54 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $45.71 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $45.71 | $81.28 |
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 $26.30 Median $39.81 Typical High $107.15 | Facility | 52 · Reduced service | $26.30 | $39.81 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.47 Median $15.85 Typical High $42.66 | Facility | 53 · Discontinued | $10.47 | $15.85 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $42.66 Median $61.66 Typical High $173.78 | Facility | FX · Film X-ray | $42.66 | $61.66 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.38 Typical High $19.05 | Professional | 53 · Discontinued | $16.98 | $17.38 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $69.18 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $69.18 | $75.86 |
Where Louisiana sits
The same service costs 4.1 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· 35th of 51
$77.62
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.