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 $549.54 Median $630.96 Typical High $645.65 | Facility | None | $549.54 | $630.96 | $645.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $234.42 Typical High $691.83 | Facility | TC · Technical part | $169.82 | $234.42 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $645.65 | Professional | None (both parts) | $501.19 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $416.87 Typical High $457.09 | Professional | 26 · Professional part | $354.81 | $416.87 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $173.78 | $190.55 |
BCBS Louisiana Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $575.44 | Facility | None | $169.82 | $281.84 | $575.44 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $489.78 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $489.78 | $512.86 | $630.96 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $346.74 Typical High $436.52 | Professional | 26 · Professional part | $338.84 | $346.74 | $436.52 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $158.49 | $165.96 | $194.98 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $389.05 | Facility | None | $39.81 | $39.81 | $389.05 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $39.81 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $524.81 | Facility | None | $245.47 | $338.84 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $251.19 | $281.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $190.55 Typical High $407.38 | Professional | 26 · Professional part | $173.78 | $190.55 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $91.20 | $177.83 |
United Setting Facility Modifier None Typical Low $436.52 Median $575.44 Typical High $1,071.52 | Facility | None | $436.52 | $575.44 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $257.04 | $354.81 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $251.19 Typical High $380.19 | Professional | 26 · Professional part | $204.17 | $251.19 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $43.65 | $107.15 | $154.88 |
8 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 $125.89 Typical High $346.74 | Facility | 52 · Reduced service | $87.10 | $125.89 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $51.29 Typical High $138.04 | Facility | 53 · Discontinued | $34.67 | $51.29 | $138.04 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $120.23 Median $177.83 Typical High $489.78 | Facility | 78 · Unplanned return to OR | $120.23 | $177.83 | $489.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $204.17 Typical High $562.34 | Facility | FX · Film X-ray | $138.04 | $204.17 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $117.49 Typical High $131.83 | Professional | 53 · Discontinued | $100.00 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $416.87 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $346.74 | $416.87 | $457.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $398.11 Median $478.63 Typical High $512.86 | Professional | FX · Film X-ray | $398.11 | $478.63 | $512.86 |
Where Louisiana sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 33rd of 51
$427
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.