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 $79.43 Median $83.18 Typical High $85.11 | Facility | None | $79.43 | $83.18 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $190.55 | Facility | TC · Technical part | $46.77 | $66.07 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $72.44 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $42.66 | Professional | 26 · Professional part | $29.51 | $33.88 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $48.98 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
BCBS Louisiana Setting Facility Modifier None Typical Low $93.33 Median $190.55 Typical High $302.00 | Facility | None | $93.33 | $190.55 | $302.00 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $87.10 | $102.33 | $102.33 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $42.66 | $42.66 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $51.29 | $60.26 | $60.26 |
Christus Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $208.93 | Facility | None | $87.10 | $123.03 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $120.23 | Professional | None (both parts) | $39.81 | $43.65 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $18.20 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $72.44 | Professional | TC · Technical part | $22.91 | $25.70 | $72.44 |
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 $54.95 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $54.95 | $74.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $27.54 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $75.86 | Professional | TC · Technical part | $32.36 | $43.65 | $75.86 |
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 $23.44 Median $35.48 Typical High $95.50 | Facility | 52 · Reduced service | $23.44 | $35.48 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $14.13 Typical High $38.02 | Facility | 53 · Discontinued | $9.55 | $14.13 | $38.02 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.02 Median $54.95 Typical High $154.88 | Facility | FX · Film X-ray | $38.02 | $54.95 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.22 Typical High $17.78 | Professional | 53 · Discontinued | $15.85 | $16.22 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $64.57 Typical High $70.79 | Professional | FX · Film X-ray | $63.10 | $64.57 | $70.79 |
Where Louisiana sits
The same service costs 4.4 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· 28th of 51
$85.11
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.