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 $154.88 Median $162.18 Typical High $295.12 | Facility | None | $154.88 | $162.18 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $467.74 | Facility | TC · Technical part | $117.49 | $165.96 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $138.04 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $39.81 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $117.49 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
BCBS Louisiana Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $281.84 | Facility | None | $123.03 | $199.53 | $281.84 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $173.78 | Professional | None (both parts) | $144.54 | $169.82 | $173.78 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $41.69 | $48.98 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $102.33 | $125.89 | $125.89 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 26 · Professional part | $30.90 | $30.90 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $724.44 | Facility | None | $239.88 | $309.03 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $109.65 | $123.03 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $56.23 | Professional | 26 · Professional part | $19.50 | $20.89 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $95.50 | $177.83 |
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 $87.10 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $87.10 | $144.54 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $32.36 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $107.15 | $151.36 |
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 $58.88 Median $81.28 Typical High $234.42 | Facility | 52 · Reduced service | $58.88 | $81.28 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $33.11 Typical High $95.50 | Facility | 53 · Discontinued | $23.44 | $33.11 | $95.50 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $93.33 Median $128.82 Typical High $380.19 | Facility | FX · Film X-ray | $93.33 | $128.82 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $125.89 Typical High $134.90 | Professional | FX · Film X-ray | $123.03 | $125.89 | $134.90 |
Where Louisiana sits
The same service costs 4.9 times more in Wyoming 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
$155
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.