How much rates vary
Facilitymedian $200 · 10th to 90th $49 to $407Professionalmedian $29 · 10th to 90th $6 to $209
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 $19.95 Median $23.99 Typical High $46.77 | Facility | None | $19.95 | $23.99 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $33.88 Typical High $194.98 | Facility | TC · Technical part | $19.50 | $33.88 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $21.38 | $26.92 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $10.23 | Professional | 26 · Professional part | $5.62 | $7.24 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.50 Typical High $28.18 | Professional | TC · Technical part | $15.49 | $19.50 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
BCBS Texas Setting Facility Modifier None Typical Low $95.50 Median $239.88 Typical High $436.52 | Facility | None | $95.50 | $239.88 | $436.52 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $7.24 Median $25.12 Typical High $33.88 | Professional | None (both parts) | $7.24 | $25.12 | $33.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $97.72 Typical High $380.19 | Facility | None | $40.74 | $97.72 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $18.62 | $28.18 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.41 Typical High $14.13 | Professional | 26 · Professional part | $5.01 | $7.41 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $20.89 Typical High $34.67 | Professional | TC · Technical part | $13.80 | $20.89 | $34.67 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $27.54 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $27.54 | $42.66 | $42.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $208.93 | $208.93 | $281.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $154.88 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $234.42 | Facility | None | $21.38 | $32.36 | $234.42 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $34.67 Typical High $144.54 | Facility | TC · Technical part | $19.95 | $34.67 | $144.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $41.69 | Professional | None (both parts) | $21.38 | $26.92 | $41.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $11.22 | Professional | 26 · Professional part | $5.62 | $7.24 | $11.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.50 Typical High $30.20 | Professional | TC · Technical part | $15.49 | $19.50 | $30.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $87.10 Typical High $380.19 | Facility | None | $27.54 | $87.10 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $18.62 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $18.62 | $28.18 | $48.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.41 Typical High $13.18 | Professional | 26 · Professional part | $5.01 | $7.41 | $13.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $13.80 | $20.42 | $32.36 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $43.65 | Professional | None (both parts) | $23.44 | $28.18 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $6.46 | $8.32 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.42 Typical High $31.62 | Professional | TC · Technical part | $16.98 | $20.42 | $31.62 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $23.99 | $23.99 | $23.99 |
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 $10.47 Median $16.60 Typical High $97.72 | Facility | 52 · Reduced service | $10.47 | $16.60 | $97.72 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.76 Typical High $38.90 | Facility | 53 · Discontinued | $4.27 | $6.76 | $38.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $17.38 Median $25.12 Typical High $91.20 | Facility | FX · Film X-ray | $17.38 | $25.12 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.76 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $21.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.98 | $21.38 | $25.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $15.49 Typical High $47.86 | Facility | 52 · Reduced service | $10.47 | $15.49 | $47.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.17 Typical High $19.05 | Facility | 53 · Discontinued | $4.27 | $6.17 | $19.05 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $15.85 Median $25.12 Typical High $95.50 | Facility | FX · Film X-ray | $15.85 | $25.12 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $16.22 | Professional | 52 · Reduced service | $10.47 | $13.18 | $16.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.31 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.31 |
Where Texas sits
The same service costs 4.1 times more in Alaska than in New York. 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· 44th of 51
$29.51
AK $95.50NY $23.44
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.