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 $40.74 Median $51.29 Typical High $51.29 | Facility | None | $40.74 | $51.29 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $63.10 Typical High $371.54 | Facility | TC · Technical part | $37.15 | $63.10 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $40.74 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $17.38 | Professional | 26 · Professional part | $11.22 | $14.45 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $29.51 | $36.31 | $44.67 |
BCBS Texas Setting Facility Modifier None Typical Low $323.59 Median $1,230.27 Typical High $2,089.30 | Facility | None | $323.59 | $1,230.27 | $2,089.30 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.13 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $14.13 | $50.12 | $79.43 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 26 · Professional part | $16.22 | $16.22 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $169.82 Typical High $2,187.76 | Facility | None | $60.26 | $169.82 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $87.10 | Professional | None (both parts) | $34.67 | $53.70 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $9.77 | $15.14 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $37.15 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $37.15 | $60.26 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $44.67 | $79.43 | $79.43 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $398.11 | $398.11 | $524.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $123.03 | $123.03 | $138.04 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $288.40 | $288.40 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $58.88 Typical High $77.62 | Facility | None | $46.77 | $58.88 | $77.62 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $181.97 | Facility | TC · Technical part | $37.15 | $58.88 | $181.97 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $40.74 | $51.29 | $66.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $11.22 | $14.45 | $19.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $36.31 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.84 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.84 | $36.31 |
Providence Setting Facility Modifier None Typical Low $45.71 Median $158.49 Typical High $2,187.76 | Facility | None | $45.71 | $158.49 | $2,187.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $34.67 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $34.67 | $52.48 | $89.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $9.77 | $15.14 | $26.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $25.12 | $36.31 | $56.23 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $42.66 | $53.70 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $16.98 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $37.15 | $53.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
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 $19.95 Median $31.62 Typical High $181.97 | Facility | 52 · Reduced service | $19.95 | $31.62 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $12.59 Typical High $74.13 | Facility | 53 · Discontinued | $8.13 | $12.59 | $74.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $46.77 Typical High $169.82 | Facility | FX · Film X-ray | $30.20 | $46.77 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $19.95 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $12.59 | Professional | 53 · Discontinued | $8.13 | $10.23 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $40.74 Typical High $46.77 | Professional | FX · Film X-ray | $32.36 | $40.74 | $46.77 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $18.62 Median $29.51 Typical High $91.20 | Facility | 52 · Reduced service | $18.62 | $29.51 | $91.20 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $11.75 Typical High $36.31 | Facility | 53 · Discontinued | $7.41 | $11.75 | $36.31 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $46.77 Typical High $181.97 | Facility | FX · Film X-ray | $30.20 | $46.77 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $19.95 | $25.12 | $29.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $11.75 | Professional | 53 · Discontinued | $8.13 | $10.23 | $11.75 |
Where Texas sits
The same service costs 5.6 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
$42.66
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.