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 $87.10 Median $97.72 Typical High $147.91 | Facility | None | $87.10 | $97.72 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $218.78 | Facility | TC · Technical part | $53.70 | $67.61 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $91.20 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $38.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $53.70 | $56.23 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $63.10 | $63.10 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $30.20 | $34.67 |
BCBS Louisiana Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $275.42 | Facility | None | $97.72 | $151.36 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $100.00 | $117.49 | $117.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $40.74 | $46.77 | $46.77 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $57.54 | $70.79 | $70.79 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $239.88 | Facility | None | $102.33 | $141.25 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $138.04 | Professional | None (both parts) | $46.77 | $51.29 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $54.95 | Professional | 26 · Professional part | $18.62 | $20.42 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $81.28 | Professional | TC · Technical part | $27.54 | $31.62 | $81.28 |
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 $63.10 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $63.10 | $79.43 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $23.99 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $37.15 | $46.77 | $83.18 |
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 $26.92 Median $40.74 Typical High $109.65 | Facility | 52 · Reduced service | $26.92 | $40.74 | $109.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.96 Median $16.22 Typical High $44.67 | Facility | 53 · Discontinued | $10.96 | $16.22 | $44.67 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $43.65 Median $63.10 Typical High $177.83 | Facility | FX · Film X-ray | $43.65 | $63.10 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $46.77 Typical High $50.12 | Professional | 52 · Reduced service | $44.67 | $46.77 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.20 | $18.62 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $74.13 Typical High $81.28 | Professional | FX · Film X-ray | $72.44 | $74.13 | $81.28 |
Where Louisiana sits
The same service costs 3.6 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· 34th of 51
$93.33
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.