How much rates vary
Facilitymedian $437 · 10th to 90th $380 to $813Professionalmedian $372 · 10th to 90th $178 to $490
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 $371.54 Median $398.11 Typical High $724.44 | Facility | None | $371.54 | $398.11 | $724.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $446.68 Typical High $1,288.25 | Facility | TC · Technical part | $316.23 | $446.68 | $1,288.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $389.05 Typical High $575.44 | Professional | None (both parts) | $331.13 | $389.05 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $60.26 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $331.13 Typical High $407.38 | Professional | TC · Technical part | $281.84 | $331.13 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Louisiana Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $912.01 | Facility | None | $331.13 | $562.34 | $912.01 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $380.19 | $380.19 | $549.54 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $61.66 | $61.66 | $85.11 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | TC · Technical part | $323.59 | $323.59 | $467.74 |
Christus Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,380.38 | Facility | None | $549.54 | $741.31 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $446.68 | Professional | None (both parts) | $173.78 | $194.98 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $30.90 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $371.54 | Professional | TC · Technical part | $147.91 | $165.96 | $371.54 |
United Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $1,122.02 | Facility | None | $457.09 | $602.56 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $199.53 | $316.23 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $47.86 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $275.42 | $389.05 |
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 $158.49 Median $223.87 Typical High $645.65 | Facility | 52 · Reduced service | $158.49 | $223.87 | $645.65 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $89.13 Typical High $257.04 | Facility | 53 · Discontinued | $63.10 | $89.13 | $257.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $354.81 Typical High $1,023.29 | Facility | FX · Film X-ray | $257.04 | $354.81 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $186.21 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $74.13 | $79.43 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $316.23 Typical High $331.13 | Professional | FX · Film X-ray | $295.12 | $316.23 | $331.13 |
Where Louisiana sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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· 25th of 51
$417
AK $1,288KY $275
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.