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 $37.15 Median $47.86 Typical High $53.70 | Facility | None | $37.15 | $47.86 | $53.70 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $18.20 Median $29.51 Typical High $173.78 | Facility | 52 · Reduced service | $18.20 | $29.51 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $11.75 Typical High $69.18 | Facility | 53 · Discontinued | $7.41 | $11.75 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $60.26 | Professional | None | $37.15 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $23.99 Typical High $30.20 | Professional | 52 · Reduced service | $18.20 | $23.99 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.55 Typical High $12.02 | Professional | 53 · Discontinued | $7.41 | $9.55 | $12.02 |
BCBS Texas Setting Facility Modifier None Typical Low $549.54 Median $1,258.93 Typical High $2,398.83 | Facility | None | $549.54 | $1,258.93 | $2,398.83 |
BCBS Texas Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $204.17 | Professional | None | $47.86 | $53.70 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $380.19 Typical High $1,584.89 | Facility | None | $128.82 | $380.19 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $162.18 | Professional | None | $33.88 | $50.12 | $162.18 |
Health Smart Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $295.12 | Facility | None | $41.69 | $56.23 | $295.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $18.20 Median $26.92 Typical High $83.18 | Facility | 52 · Reduced service | $18.20 | $26.92 | $83.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $10.96 Typical High $33.88 | Facility | 53 · Discontinued | $7.41 | $10.96 | $33.88 |
Moda Health Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $69.18 | Professional | None | $37.15 | $47.86 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $23.99 Typical High $30.20 | Professional | 52 · Reduced service | $18.20 | $23.99 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $9.55 Typical High $12.02 | Professional | 53 · Discontinued | $7.41 | $9.55 | $12.02 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $31.62 Typical High $37.15 | Professional | None | $5.37 | $31.62 | $37.15 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $1,584.89 | Facility | None | $61.66 | $239.88 | $1,584.89 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $154.88 | Professional | None | $33.88 | $50.12 | $154.88 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $194.98 | Professional | None | $47.86 | $61.66 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
3 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 FX · Film X-ray Typical Low $30.20 Median $43.65 Typical High $158.49 | Facility | FX · Film X-ray | $30.20 | $43.65 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $38.90 Typical High $46.77 | Professional | FX · Film X-ray | $29.51 | $38.90 | $46.77 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $28.84 Median $43.65 Typical High $169.82 | Facility | FX · Film X-ray | $28.84 | $43.65 | $169.82 |
Where Texas sits
The same service costs 4.1 times more in Alaska than in Texas. 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.
Texas· 51st of 51
$48.98
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.