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 $213.80 Median $229.09 Typical High $229.09 | Facility | None | $213.80 | $229.09 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $467.74 | Facility | TC · Technical part | $117.49 | $162.18 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $281.84 | Professional | None (both parts) | $186.21 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $91.20 | $104.71 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $120.23 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $97.72 | $165.96 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $302.00 | Facility | None | $123.03 | $181.97 | $302.00 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $239.88 | $281.84 | $281.84 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $112.20 | $128.82 | $128.82 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $120.23 | $151.36 | $151.36 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $109.65 | $120.23 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $54.95 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $66.07 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $128.82 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $85.11 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $100.00 | $173.78 |
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 $57.54 Median $87.10 Typical High $234.42 | Facility | 52 · Reduced service | $57.54 | $87.10 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $34.67 Typical High $95.50 | Facility | 53 · Discontinued | $23.44 | $34.67 | $95.50 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $93.33 Median $134.90 Typical High $380.19 | Facility | FX · Film X-ray | $93.33 | $134.90 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $43.65 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $177.83 Typical High $194.98 | Professional | FX · Film X-ray | $169.82 | $177.83 | $194.98 |
Where Louisiana sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 29th of 51
$214
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.