How much rates vary
Facilitymedian $191 · 10th to 90th $85 to $479Professionalmedian $36 · 10th to 90th $6 to $407
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 $37.15 Typical High $67.61 | Facility | None | $29.51 | $37.15 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $48.98 Typical High $288.40 | Facility | TC · Technical part | $28.84 | $48.98 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $31.62 | $39.81 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $8.71 | $11.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $46.77 | Professional | TC · Technical part | $22.91 | $28.84 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | None (both parts) | $35.48 | $35.48 | $37.15 |
BCBS Texas Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $549.54 | Facility | None | $128.82 | $331.13 | $549.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.96 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $10.96 | $36.31 | $50.12 |
Christus Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 26 · Professional part | $12.59 | $12.59 | $12.88 |
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 $26.92 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $26.92 | $41.69 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $23.44 | Professional | 26 · Professional part | $7.59 | $11.75 | $23.44 |
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 $42.66 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $42.66 | $60.26 | $60.26 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $407.38 | $436.52 | $436.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $102.33 | $102.33 | $107.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $426.58 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $275.42 Typical High $371.54 | Facility | None | $38.90 | $275.42 | $371.54 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $141.25 | Facility | TC · Technical part | $28.84 | $45.71 | $141.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $66.07 | Professional | None (both parts) | $31.62 | $39.81 | $66.07 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $11.22 | $18.62 |
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 $40.74 Median $123.03 Typical High $467.74 | Facility | None | $40.74 | $123.03 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $26.92 | $41.69 | $74.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $7.59 | $11.75 | $21.38 |
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 $35.48 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $35.48 | $44.67 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $10.96 | $13.80 | $21.38 |
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 $12.88 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
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 $15.85 Median $25.12 Typical High $144.54 | Facility | 52 · Reduced service | $15.85 | $25.12 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $10.00 Typical High $57.54 | Facility | 53 · Discontinued | $6.31 | $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 $15.85 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $15.85 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $6.31 | $7.94 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $32.36 Typical High $37.15 | Professional | FX · Film X-ray | $25.12 | $32.36 | $37.15 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $22.91 Typical High $70.79 | Facility | 52 · Reduced service | $15.85 | $22.91 | $70.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $9.12 Typical High $28.18 | Facility | 53 · Discontinued | $6.31 | $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 $15.85 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $15.85 | $19.95 | $24.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $6.31 | $7.94 | $9.77 |
Where Texas sits
The same service costs 4.1 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 $132UT $32.36
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.