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 $1,230.27 Median $1,412.54 Typical High $2,187.76 | Facility | None | $1,230.27 | $1,412.54 | $2,187.76 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $794.33 Typical High $2,344.23 | Facility | TC · Technical part | $562.34 | $794.33 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,258.93 Typical High $1,445.44 | Professional | None (both parts) | $870.96 | $1,258.93 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $707.95 Typical High $812.83 | Professional | 26 · Professional part | $537.03 | $707.95 | $812.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $575.44 Typical High $645.65 | Professional | TC · Technical part | $380.19 | $575.44 | $645.65 |
BCBS Louisiana Setting Facility Modifier None Typical Low $501.19 Median $1,202.26 Typical High $1,819.70 | Facility | None | $501.19 | $1,202.26 | $1,819.70 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,202.26 Typical High $1,479.11 | Professional | None (both parts) | $1,148.15 | $1,202.26 | $1,479.11 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $602.56 Typical High $812.83 | Professional | 26 · Professional part | $588.84 | $602.56 | $812.83 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $549.54 Typical High $660.69 | Professional | TC · Technical part | $524.81 | $549.54 | $660.69 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $912.01 | Facility | None | $39.81 | $39.81 | $912.01 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $39.81 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,698.24 | Facility | None | $851.14 | $1,148.15 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $660.69 Typical High $1,348.96 | Professional | None (both parts) | $588.84 | $660.69 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $331.13 Typical High $758.58 | Professional | 26 · Professional part | $302.00 | $331.13 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $602.56 | Professional | TC · Technical part | $281.84 | $323.59 | $602.56 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,949.84 | Facility | None | $794.33 | $1,047.13 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $851.14 Typical High $1,230.27 | Professional | None (both parts) | $630.96 | $851.14 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $512.86 Typical High $691.83 | Professional | 26 · Professional part | $338.84 | $512.86 | $691.83 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $501.19 | Professional | TC · Technical part | $165.96 | $323.59 | $501.19 |
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 $288.40 Median $426.58 Typical High $1,174.90 | Facility | 52 · Reduced service | $288.40 | $426.58 | $1,174.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $117.49 Median $169.82 Typical High $467.74 | Facility | 53 · Discontinued | $117.49 | $169.82 | $467.74 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $588.84 Typical High $1,621.81 | Facility | 78 · Unplanned return to OR | $407.38 | $588.84 | $1,621.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $467.74 Median $676.08 Typical High $1,862.09 | Facility | FX · Film X-ray | $467.74 | $676.08 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $660.69 Typical High $724.44 | Professional | 52 · Reduced service | $549.54 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $223.87 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $776.25 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $891.25 Median $1,047.13 Typical High $1,148.15 | Professional | FX · Film X-ray | $891.25 | $1,047.13 | $1,148.15 |
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· 31st of 51
$1,072
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.