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 $120.23 Median $141.25 Typical High $204.17 | Facility | None | $120.23 | $141.25 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $58.88 | Facility | 26 · Professional part | $45.71 | $50.12 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $302.00 | Facility | TC · Technical part | $87.10 | $100.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $131.83 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $47.86 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $89.13 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $89.13 | $89.13 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $37.15 | $40.74 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $275.42 | Facility | None | $123.03 | $199.53 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $131.83 | $141.25 | $151.36 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $44.67 | $48.98 | $57.54 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $89.13 | $93.33 | $93.33 |
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 $37.15 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $371.54 | Facility | None | $162.18 | $223.87 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $199.53 | Professional | None (both parts) | $66.07 | $74.13 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $67.61 | Professional | 26 · Professional part | $23.44 | $25.12 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $128.82 | Professional | TC · Technical part | $42.66 | $48.98 | $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 $91.20 Median $114.82 Typical High $204.17 | Professional | None (both parts) | $91.20 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $39.81 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $75.86 | $128.82 |
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 $64.57 Typical High $173.78 | Facility | 52 · Reduced service | $43.65 | $64.57 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $25.70 Typical High $70.79 | Facility | 53 · Discontinued | $17.38 | $25.70 | $70.79 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $69.18 Median $100.00 Typical High $281.84 | Facility | FX · Film X-ray | $69.18 | $100.00 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.92 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $107.15 Typical High $117.49 | Professional | FX · Film X-ray | $104.71 | $107.15 | $117.49 |
Where Louisiana sits
The same service costs 3.8 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· 32nd of 51
$132
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.