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 $34.67 Median $85.11 Typical High $331.13 | Facility | None | $34.67 | $85.11 | $331.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $128.82 | Facility | TC · Technical part | $31.62 | $41.69 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $95.50 | Professional | None (both parts) | $63.10 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $34.67 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.11 Typical High $42.66 | Professional | TC · Technical part | $31.62 | $33.11 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | None (both parts) | $47.86 | $47.86 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.92 Typical High $30.90 | Professional | 26 · Professional part | $25.70 | $26.92 | $30.90 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $275.42 | Facility | None | $123.03 | $181.97 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $79.43 | Professional | None (both parts) | $67.61 | $74.13 | $79.43 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $35.48 | $40.74 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $33.11 | $38.90 | $38.90 |
Christus Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 26 · Professional part | $25.12 | $25.12 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $134.90 | Facility | None | $60.26 | $91.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $95.50 | Professional | None (both parts) | $35.48 | $38.90 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $18.20 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $46.77 | Professional | TC · Technical part | $18.62 | $20.89 | $46.77 |
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 $44.67 Median $66.07 Typical High $107.15 | Professional | None (both parts) | $44.67 | $66.07 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $28.18 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $22.91 | $31.62 | $60.26 |
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 $15.85 Median $23.44 Typical High $64.57 | Facility | 52 · Reduced service | $15.85 | $23.44 | $64.57 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $9.33 Typical High $25.70 | Facility | 53 · Discontinued | $6.31 | $9.33 | $25.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.12 Median $37.15 Typical High $102.33 | Facility | FX · Film X-ray | $25.12 | $37.15 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.18 Typical High $14.45 | Professional | 53 · Discontinued | $12.88 | $13.18 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $52.48 Typical High $57.54 | Professional | FX · Film X-ray | $51.29 | $52.48 | $57.54 |
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· 40th of 51
$69.18
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.