How much rates vary
Facilitymedian $115 · 10th to 90th $19 to $275Professionalmedian $8 · 10th to 90th $4 to $15
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 $7.94 Median $8.32 Typical High $8.51 | Facility | None | $7.94 | $8.32 | $8.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $4.68 Median $6.46 Typical High $19.05 | Facility | TC · Technical part | $4.68 | $6.46 | $19.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.94 Median $8.13 Typical High $8.71 | Professional | None (both parts) | $7.94 | $8.13 | $8.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.39 Typical High $3.72 | Professional | 26 · Professional part | $3.02 | $3.39 | $3.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.68 Median $4.68 Typical High $5.13 | Professional | TC · Technical part | $4.68 | $4.68 | $5.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $22.39 Median $117.49 Typical High $275.42 | Facility | None | $22.39 | $117.49 | $275.42 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $8.51 Median $9.12 Typical High $9.55 | Professional | None (both parts) | $8.51 | $9.12 | $9.55 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.47 Typical High $4.07 | Professional | 26 · Professional part | $3.24 | $3.47 | $4.07 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $5.62 Typical High $5.89 | Professional | TC · Technical part | $5.37 | $5.62 | $5.89 |
Christus Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $39.81 | Facility | None | $7.41 | $7.41 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.69 Typical High $2.69 | Professional | 26 · Professional part | $2.51 | $2.69 | $2.69 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $13.49 Typical High $20.89 | Facility | None | $9.12 | $13.49 | $20.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4.27 Median $4.79 Typical High $12.30 | Professional | None (both parts) | $4.27 | $4.79 | $12.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1.62 Median $1.78 Typical High $4.47 | Professional | 26 · Professional part | $1.62 | $1.78 | $4.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.63 Median $2.95 Typical High $7.41 | Professional | TC · Technical part | $2.63 | $2.95 | $7.41 |
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 $5.37 Median $8.13 Typical High $29.51 | Professional | None (both parts) | $5.37 | $8.13 | $29.51 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.04 Median $2.82 Typical High $4.27 | Professional | 26 · Professional part | $2.04 | $2.82 | $4.27 |
United Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $4.68 Typical High $26.92 | Professional | TC · Technical part | $3.16 | $4.68 | $26.92 |
7 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 $2.34 Median $3.47 Typical High $9.33 | Facility | 52 · Reduced service | $2.34 | $3.47 | $9.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $1.41 Typical High $3.80 | Facility | 53 · Discontinued | $0.93 | $1.41 | $3.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $3.72 Median $5.37 Typical High $15.14 | Facility | FX · Film X-ray | $3.72 | $5.37 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $4.07 Typical High $4.37 | Professional | 52 · Reduced service | $3.98 | $4.07 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $1.78 | Professional | 53 · Discontinued | $1.58 | $1.62 | $1.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $6.31 Median $6.46 Typical High $7.08 | Professional | FX · Film X-ray | $6.31 | $6.46 | $7.08 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 59 · Distinct service | $5.13 | $5.13 | $5.13 |
Where Louisiana sits
The same service costs 4.2 times more in Kansas than in Florida. 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· 39th of 51
$8.71
KS $23.99FL $5.75
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.