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 $776.25 Median $812.83 Typical High $870.96 | Facility | None | $776.25 | $812.83 | $870.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $446.68 Typical High $1,318.26 | Facility | TC · Technical part | $323.59 | $446.68 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $812.83 Typical High $891.25 | Professional | None (both parts) | $691.83 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $489.78 Typical High $537.03 | Professional | 26 · Professional part | $407.38 | $489.78 | $537.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $363.08 | Professional | TC · Technical part | $281.84 | $331.13 | $363.08 |
BCBS Louisiana Setting Facility Modifier None Typical Low $380.19 Median $676.08 Typical High $1,318.26 | Facility | None | $380.19 | $676.08 | $1,318.26 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $691.83 Median $724.44 Typical High $891.25 | Professional | None (both parts) | $691.83 | $724.44 | $891.25 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $398.11 Typical High $501.19 | Professional | 26 · Professional part | $389.05 | $398.11 | $501.19 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $302.00 | $323.59 | $380.19 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $549.54 | Facility | None | $39.81 | $39.81 | $549.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $39.81 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $1,023.29 | Facility | None | $467.74 | $645.65 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $831.76 | Professional | None (both parts) | $354.81 | $389.05 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $218.78 Typical High $467.74 | Professional | 26 · Professional part | $199.53 | $218.78 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $173.78 | $354.81 |
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 $371.54 Median $489.78 Typical High $741.31 | Professional | None (both parts) | $371.54 | $489.78 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $288.40 Typical High $436.52 | Professional | 26 · Professional part | $234.42 | $288.40 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $117.49 | $208.93 | $295.12 |
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 $165.96 Median $239.88 Typical High $660.69 | Facility | 52 · Reduced service | $165.96 | $239.88 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $97.72 Typical High $263.03 | Facility | 53 · Discontinued | $66.07 | $97.72 | $263.03 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $338.84 Typical High $933.25 | Facility | 78 · Unplanned return to OR | $229.09 | $338.84 | $933.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $389.05 Typical High $1,071.52 | Facility | FX · Film X-ray | $263.03 | $389.05 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $407.38 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $162.18 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $478.63 | $575.44 | $630.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $549.54 Median $645.65 Typical High $724.44 | Professional | FX · Film X-ray | $549.54 | $645.65 | $724.44 |
Where Louisiana sits
The same service costs 5.6 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· 27th of 51
$661
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.