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 $112.20 Median $144.54 Typical High $144.54 | Facility | None | $112.20 | $144.54 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $162.18 Typical High $954.99 | Facility | TC · Technical part | $95.50 | $162.18 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $112.20 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $47.86 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $112.20 | Professional | TC · Technical part | $75.86 | $93.33 | $112.20 |
BCBS Texas Setting Facility Modifier None Typical Low $831.76 Median $2,041.74 Typical High $3,235.94 | Facility | None | $831.76 | $2,041.74 | $3,235.94 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $72.44 | $120.23 | $190.55 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 26 · Professional part | $52.48 | $52.48 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $457.09 Typical High $3,235.94 | Facility | None | $169.82 | $457.09 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $93.33 | $144.54 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $100.00 | Professional | 26 · Professional part | $32.36 | $48.98 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $93.33 | $158.49 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $141.25 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | 26 · Professional part | $363.08 | $363.08 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | TC · Technical part | $741.31 | $741.31 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $186.21 Typical High $1,862.09 | Facility | None | $131.83 | $186.21 | $1,862.09 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $151.36 Typical High $467.74 | Facility | TC · Technical part | $95.50 | $151.36 | $467.74 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $112.20 | $141.25 | $190.55 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $47.86 | $66.07 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $93.33 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $15.49 | $85.11 | $165.96 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $436.52 Typical High $3,235.94 | Facility | None | $123.03 | $436.52 | $3,235.94 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $93.33 | $144.54 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $48.98 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $89.13 | $141.25 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,230.27 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $117.49 | $147.91 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $57.54 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $95.50 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
11 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 $52.48 Median $81.28 Typical High $478.63 | Facility | 52 · Reduced service | $52.48 | $81.28 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $32.36 Typical High $190.55 | Facility | 53 · Discontinued | $20.89 | $32.36 | $190.55 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $120.23 Typical High $446.68 | Facility | FX · Film X-ray | $81.28 | $120.23 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $33.88 | Professional | 53 · Discontinued | $22.39 | $28.18 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $89.13 | $114.82 | $128.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $50.12 Median $75.86 Typical High $234.42 | Facility | 52 · Reduced service | $50.12 | $75.86 | $234.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $30.20 Typical High $93.33 | Facility | 53 · Discontinued | $20.42 | $30.20 | $93.33 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $77.62 Median $120.23 Typical High $467.74 | Facility | FX · Film X-ray | $77.62 | $120.23 | $467.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $70.79 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $28.18 | $33.11 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 50th of 51
$120
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.