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 $95.50 Median $194.98 Typical High $371.54 | Facility | None | $95.50 | $194.98 | $371.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $50.12 Typical High $138.04 | Facility | TC · Technical part | $35.48 | $50.12 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $162.18 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $186.21 | Professional | 26 · Professional part | $104.71 | $162.18 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $37.15 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
BCBS Louisiana Setting Facility Modifier None Typical Low $288.40 Median $870.96 Typical High $1,318.26 | Facility | None | $288.40 | $870.96 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $181.97 | $186.21 | $234.42 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $138.04 | $141.25 | $177.83 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $45.71 | $54.95 |
Christus Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $177.83 | Facility | None | $51.29 | $79.43 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $104.71 Typical High $234.42 | Professional | None (both parts) | $93.33 | $104.71 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $77.62 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $26.92 | $54.95 |
United Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,548.82 | Facility | None | $630.96 | $831.76 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $120.23 | $165.96 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $104.71 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $363.08 | Professional | TC · Technical part | $23.44 | $38.90 | $363.08 |
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 $18.20 Median $26.92 Typical High $97.72 | Facility | 52 · Reduced service | $18.20 | $26.92 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $10.72 Typical High $38.90 | Facility | 53 · Discontinued | $7.41 | $10.72 | $38.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $42.66 Typical High $151.36 | Facility | FX · Film X-ray | $29.51 | $42.66 | $151.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $87.10 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $41.69 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $165.96 Typical High $177.83 | Professional | FX · Film X-ray | $141.25 | $165.96 | $177.83 |
Where Louisiana sits
The same service costs 5.1 times more in Alaska 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· 23rd of 51
$224
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.