How much rates vary
Facilitymedian $138 · 10th to 90th $68 to $355Professionalmedian $32 · 10th to 90th $6 to $245
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 $24.55 Median $30.90 Typical High $44.67 | Facility | None | $24.55 | $30.90 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $181.97 | Facility | TC · Technical part | $22.91 | $38.90 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $51.29 | Professional | None (both parts) | $25.12 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.08 Typical High $11.22 | Professional | 26 · Professional part | $5.37 | $7.08 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $24.55 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | None (both parts) | $24.55 | $28.84 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.61 Typical High $7.94 | Professional | 26 · Professional part | $5.75 | $6.61 | $7.94 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $19.95 | $19.95 | $19.95 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $354.81 | Facility | None | $79.43 | $204.17 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.46 Median $28.84 Typical High $39.81 | Professional | None (both parts) | $6.46 | $28.84 | $39.81 |
Baylor Scott & White Setting Facility Modifier None Typical Low $54.95 Median $154.88 Typical High $275.42 | Facility | None | $54.95 | $154.88 | $275.42 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $38.90 | Professional | None (both parts) | $35.48 | $36.31 | $38.90 |
Christus Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $114.82 Typical High $380.19 | Facility | None | $47.86 | $114.82 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $21.38 | $32.36 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.08 Typical High $14.79 | Professional | 26 · Professional part | $4.79 | $7.08 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $16.60 | $25.12 | $41.69 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $32.36 | $47.86 | $47.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $245.47 | $245.47 | $323.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $63.10 | $63.10 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $190.55 | $190.55 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $245.47 Typical High $489.78 | Facility | None | $37.15 | $245.47 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $40.74 Typical High $446.68 | Facility | TC · Technical part | $23.99 | $40.74 | $446.68 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $52.48 | Professional | None (both parts) | $25.12 | $31.62 | $52.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.08 Typical High $11.75 | Professional | 26 · Professional part | $5.37 | $7.08 | $11.75 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $24.55 | $40.74 |
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 $104.71 Typical High $380.19 | Facility | None | $32.36 | $104.71 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.38 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $21.38 | $32.36 | $56.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.08 Typical High $13.49 | Professional | 26 · Professional part | $4.79 | $7.08 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $24.55 | $38.90 |
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 $27.54 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $27.54 | $33.11 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $8.51 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $25.12 | $38.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
12 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 $20.89 Typical High $123.03 | Facility | 52 · Reduced service | $12.59 | $20.89 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $8.51 Typical High $48.98 | Facility | 53 · Discontinued | $5.01 | $8.51 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $30.90 Typical High $114.82 | Facility | FX · Film X-ray | $21.88 | $30.90 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $12.30 | $15.49 | $19.50 |
Aetna 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 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $25.12 Typical High $29.51 | Professional | FX · Film X-ray | $19.95 | $25.12 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 59 · Distinct service | $28.84 | $28.84 | $28.84 |
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 $7.76 Typical High $23.99 | Facility | 53 · Discontinued | $5.01 | $7.76 | $23.99 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $19.95 Median $30.90 Typical High $120.23 | Facility | FX · Film X-ray | $19.95 | $30.90 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 52 · Reduced service | $12.30 | $15.49 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $7.41 | Professional | 53 · Discontinued | $5.01 | $6.31 | $7.41 |
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
$32.36
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.