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 $104.71 Median $120.23 Typical High $218.78 | Facility | None | $104.71 | $120.23 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $309.03 | Facility | TC · Technical part | $77.62 | $89.13 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $104.71 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $38.90 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $69.18 | $81.28 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $75.86 | $75.86 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $29.51 | $33.88 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $275.42 | Facility | None | $123.03 | $186.21 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $128.82 | Professional | None (both parts) | $104.71 | $123.03 | $128.82 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $35.48 | $38.90 | $44.67 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $67.61 | $83.18 | $83.18 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $29.51 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $302.00 | Facility | None | $131.83 | $162.18 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $57.54 | $63.10 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $53.70 | Professional | 26 · Professional part | $18.20 | $19.95 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $43.65 Typical High $89.13 | Professional | TC · Technical part | $38.90 | $43.65 | $89.13 |
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 $67.61 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $67.61 | $97.72 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $30.90 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $64.57 | $93.33 |
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 $38.90 Median $57.54 Typical High $158.49 | Facility | 52 · Reduced service | $38.90 | $57.54 | $158.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $22.91 Typical High $63.10 | Facility | 53 · Discontinued | $15.49 | $22.91 | $63.10 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $89.13 Typical High $251.19 | Facility | FX · Film X-ray | $61.66 | $89.13 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | FX · Film X-ray | $89.13 | $91.20 | $100.00 |
Where Louisiana sits
The same service costs 4.2 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
$112
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.