How much rates vary
Facilitymedian $200 · 10th to 90th $63 to $1,023Professionalmedian $195 · 10th to 90th $35 to $1,349
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 $177.83 Median $229.09 Typical High $1,862.09 | Facility | None | $177.83 | $229.09 | $1,862.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $323.59 Typical High $1,862.09 | Facility | TC · Technical part | $190.55 | $323.59 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $151.36 | $190.55 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $14.45 | Professional | 26 · Professional part | $9.12 | $11.75 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $186.21 | $257.04 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $12.02 Median $51.29 Typical High $363.08 | Professional | None (both parts) | $12.02 | $51.29 | $363.08 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $208.93 Typical High $1,023.29 | Facility | None | $81.28 | $208.93 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $28.18 | $43.65 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $25.70 | Professional | 26 · Professional part | $8.32 | $12.59 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $30.90 | $57.54 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $549.54 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $89.13 | $89.13 | $117.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $1,288.25 Typical High $1,288.25 | Professional | TC · Technical part | $512.86 | $1,288.25 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $16.60 Median $190.55 Typical High $288.40 | Facility | None | $16.60 | $190.55 | $288.40 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $933.25 | Facility | TC · Technical part | $190.55 | $302.00 | $933.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $151.36 | $190.55 | $239.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $11.75 | $16.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $234.42 | Professional | TC · Technical part | $147.91 | $186.21 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $11.48 | $34.67 | $47.86 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $190.55 Typical High $1,096.48 | Facility | None | $50.12 | $190.55 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.18 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $28.18 | $42.66 | $77.62 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $8.32 | $12.59 | $22.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $30.20 | $54.95 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $52.48 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $14.45 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $38.02 | $223.87 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
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 $93.33 Median $162.18 Typical High $933.25 | Facility | 52 · Reduced service | $93.33 | $162.18 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $64.57 Typical High $380.19 | Facility | 53 · Discontinued | $38.02 | $64.57 | $380.19 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $870.96 | Facility | FX · Film X-ray | $151.36 | $239.88 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $52.48 | Professional | 53 · Discontinued | $30.20 | $38.02 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $154.88 Typical High $186.21 | Professional | FX · Film X-ray | $120.23 | $154.88 | $186.21 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $95.50 Median $147.91 Typical High $457.09 | Facility | 52 · Reduced service | $95.50 | $147.91 | $457.09 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $60.26 Typical High $186.21 | Facility | 53 · Discontinued | $38.02 | $60.26 | $186.21 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $933.25 | Facility | FX · Film X-ray | $151.36 | $239.88 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $75.86 | $95.50 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.02 Typical High $47.86 | Professional | 53 · Discontinued | $30.20 | $38.02 | $47.86 |
Where Texas sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 22nd of 51
$195
CO $316MI $47.86
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.