How much rates vary
Facilitymedian $186 · 10th to 90th $87 to $490Professionalmedian $36 · 10th to 90th $6 to $309
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 $29.51 Median $36.31 Typical High $46.77 | Facility | None | $29.51 | $36.31 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $213.80 | Facility | TC · Technical part | $25.70 | $45.71 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $30.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $10.47 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $28.84 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $26.92 | $35.48 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $28.84 | Professional | 26 · Professional part | $9.77 | $11.75 | $28.84 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $40.74 | Professional | TC · Technical part | $27.54 | $27.54 | $40.74 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $501.19 | Facility | None | $123.03 | $309.03 | $501.19 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.96 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $10.96 | $35.48 | $52.48 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $44.67 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $44.67 | $45.71 | $51.29 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $141.25 Typical High $467.74 | Facility | None | $54.95 | $141.25 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $26.30 | $40.74 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $7.08 | $10.96 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $29.51 | $51.29 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $41.69 | $60.26 | $60.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $309.03 | $309.03 | $407.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 26 · Professional part | $100.00 | $100.00 | $102.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $251.19 | $251.19 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $331.13 Typical High $616.60 | Facility | None | $38.02 | $331.13 | $616.60 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $208.93 | Facility | TC · Technical part | $25.70 | $45.71 | $208.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $30.90 | $39.81 | $66.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $10.47 | $17.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $28.84 | $47.86 |
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 $39.81 Median $123.03 Typical High $467.74 | Facility | None | $39.81 | $123.03 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $26.30 | $40.74 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $7.08 | $10.96 | $19.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $29.51 | $46.77 |
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 $34.67 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $34.67 | $43.65 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $10.23 | $12.88 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $30.90 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
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 $15.49 Median $25.12 Typical High $144.54 | Facility | 52 · Reduced service | $15.49 | $25.12 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $10.00 Typical High $57.54 | Facility | 53 · Discontinued | $6.17 | $10.00 | $57.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.70 Median $37.15 Typical High $134.90 | Facility | FX · Film X-ray | $25.70 | $37.15 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.50 Typical High $23.99 | Professional | 52 · Reduced service | $15.49 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.76 Typical High $9.55 | Professional | 53 · Discontinued | $6.17 | $7.76 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $31.62 Typical High $36.31 | Professional | FX · Film X-ray | $24.55 | $31.62 | $36.31 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.49 Median $22.91 Typical High $70.79 | Facility | 52 · Reduced service | $15.49 | $22.91 | $70.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $9.12 Typical High $28.18 | Facility | 53 · Discontinued | $6.17 | $9.12 | $28.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $37.15 Typical High $141.25 | Facility | FX · Film X-ray | $23.44 | $37.15 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $19.50 Typical High $23.99 | Professional | 52 · Reduced service | $15.49 | $19.50 | $23.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.76 Typical High $9.55 | Professional | 53 · Discontinued | $6.17 | $7.76 | $9.55 |
Where Texas sits
The same service costs 4.2 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· 49th of 51
$38.02
AK $138UT $33.11
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.