How much rates vary
Facilitymedian $282 · 10th to 90th $65 to $501Professionalmedian $32 · 10th to 90th $6 to $251
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 $25.12 Median $32.36 Typical High $32.36 | Facility | None | $25.12 | $32.36 | $32.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $42.66 Typical High $251.19 | Facility | TC · Technical part | $25.12 | $42.66 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $39.81 | Professional | None (both parts) | $25.12 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $9.12 | Professional | 26 · Professional part | $5.62 | $7.24 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $19.50 | $24.55 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
BCBS Texas Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $537.03 | Facility | None | $134.90 | $323.59 | $537.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $9.33 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $9.33 | $31.62 | $42.66 |
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 $50.12 Median $120.23 Typical High $467.74 | Facility | None | $50.12 | $120.23 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $21.88 | $33.11 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $15.14 | Professional | 26 · Professional part | $5.01 | $7.59 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $16.98 | $25.12 | $44.67 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $33.88 | $50.12 | $50.12 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $251.19 | $251.19 | $338.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $54.95 | $54.95 | $72.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $194.98 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $54.95 | Facility | None | $29.51 | $38.90 | $54.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $123.03 | Facility | TC · Technical part | $25.12 | $39.81 | $123.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $43.65 | Professional | None (both parts) | $25.12 | $31.62 | $43.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $10.00 | Professional | 26 · Professional part | $5.62 | $7.24 | $10.00 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $31.62 | Professional | TC · Technical part | $19.50 | $24.55 | $31.62 |
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 $32.36 Median $109.65 Typical High $467.74 | Facility | None | $32.36 | $109.65 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $21.88 | $33.11 | $61.66 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $14.13 | Professional | 26 · Professional part | $5.01 | $7.59 | $14.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $40.74 | Professional | TC · Technical part | $16.98 | $25.12 | $40.74 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $28.18 | $35.48 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $8.91 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $20.89 | $26.30 | $38.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $30.20 | $30.20 | $30.20 |
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 $12.59 Median $21.38 Typical High $123.03 | Facility | 52 · Reduced service | $12.59 | $21.38 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $8.51 Typical High $50.12 | Facility | 53 · Discontinued | $5.01 | $8.51 | $50.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $31.62 Typical High $114.82 | Facility | FX · Film X-ray | $21.88 | $31.62 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.85 Typical High $19.50 | Professional | 52 · Reduced service | $12.59 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $7.94 | Professional | 53 · Discontinued | $5.01 | $6.31 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $25.70 Typical High $30.20 | Professional | FX · Film X-ray | $20.42 | $25.70 | $30.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.59 Median $19.50 Typical High $60.26 | Facility | 52 · Reduced service | $12.59 | $19.50 | $60.26 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $7.94 Typical High $24.55 | Facility | 53 · Discontinued | $5.01 | $7.94 | $24.55 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $20.42 Median $31.62 Typical High $123.03 | Facility | FX · Film X-ray | $20.42 | $31.62 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.85 Typical High $19.50 | Professional | 52 · Reduced service | $12.59 | $15.85 | $19.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $7.76 | Professional | 53 · Discontinued | $5.01 | $6.31 | $7.76 |
Where Texas sits
The same service costs 3.9 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.
Texas· 48th of 51
$33.11
AK $112FL $28.84
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.