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 $173.78 Median $245.47 Typical High $676.08 | Facility | None | $173.78 | $245.47 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $181.97 Typical High $199.53 | Professional | None | $134.90 | $181.97 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
BCBS Louisiana Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $354.81 | Facility | None | $141.25 | $245.47 | $354.81 |
BCBS Louisiana Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $204.17 | Professional | None | $173.78 | $181.97 | $204.17 |
Christus Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $512.86 | Facility | None | $229.09 | $323.59 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $199.53 | Professional | None | $89.13 | $102.33 | $199.53 |
United Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $371.54 | Facility | None | $154.88 | $204.17 | $371.54 |
United Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $173.78 | Professional | None | $89.13 | $120.23 | $173.78 |
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 $87.10 Median $123.03 Typical High $363.08 | Facility | 52 · Reduced service | $87.10 | $123.03 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $48.98 Typical High $144.54 | Facility | 53 · Discontinued | $34.67 | $48.98 | $144.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $141.25 Median $194.98 Typical High $575.44 | Facility | FX · Film X-ray | $141.25 | $194.98 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $75.86 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $36.31 Typical High $39.81 | Professional | 53 · Discontinued | $30.20 | $36.31 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $158.49 | Professional | FX · Film X-ray | $123.03 | $144.54 | $158.49 |
Where Louisiana sits
The same service costs 4.1 times more in Alaska than in New York. 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· 27th of 51
$170
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.