How much rates vary
Facilitymedian $123 · 10th to 90th $65 to $347Professionalmedian $30 · 10th to 90th $6 to $209
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 $20.42 Median $24.55 Typical High $46.77 | Facility | None | $20.42 | $24.55 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $199.53 | Facility | TC · Technical part | $18.62 | $31.62 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $21.38 | $26.92 | $44.67 |
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 $15.85 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $15.85 | $19.95 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $24.55 Typical High $33.11 | Professional | None (both parts) | $21.88 | $24.55 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $8.13 | Professional | 26 · Professional part | $6.61 | $6.61 | $8.13 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $208.93 Typical High $354.81 | Facility | None | $79.43 | $208.93 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $7.24 Median $24.55 Typical High $36.31 | Professional | None (both parts) | $7.24 | $24.55 | $36.31 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $8.32 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $100.00 Typical High $380.19 | Facility | None | $43.65 | $100.00 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $28.18 Typical High $52.48 | Professional | None (both parts) | $18.62 | $28.18 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.41 Typical High $14.79 | Professional | 26 · Professional part | $4.79 | $7.41 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $13.49 | $20.42 | $38.02 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $30.20 | $41.69 | $41.69 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $208.93 | $208.93 | $281.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $186.21 | $186.21 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $138.04 Typical High $562.34 | Facility | None | $25.70 | $138.04 | $562.34 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $36.31 Typical High $331.13 | Facility | TC · Technical part | $19.95 | $36.31 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $21.38 | $26.92 | $44.67 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.08 Typical High $11.48 | Professional | 26 · Professional part | $5.37 | $7.08 | $11.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $15.85 | $19.95 | $33.11 |
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 $28.84 Median $89.13 Typical High $380.19 | Facility | None | $28.84 | $89.13 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $18.62 Median $27.54 Typical High $52.48 | Professional | None (both parts) | $18.62 | $27.54 | $52.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.41 Typical High $13.49 | Professional | 26 · Professional part | $4.79 | $7.41 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $13.49 | $20.42 | $33.88 |
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 $23.99 Median $30.20 Typical High $46.77 | Professional | None (both parts) | $23.99 | $30.20 | $46.77 |
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 $17.38 Median $21.88 Typical High $33.11 | Professional | TC · Technical part | $17.38 | $21.88 | $33.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
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 $23.99 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $23.99 | $23.99 | $23.99 |
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 $10.47 Median $16.98 Typical High $100.00 | Facility | 52 · Reduced service | $10.47 | $16.98 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.76 Typical High $39.81 | Facility | 53 · Discontinued | $4.27 | $6.76 | $39.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $17.78 Median $25.12 Typical High $93.33 | Facility | FX · Film X-ray | $17.78 | $25.12 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $21.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.98 | $21.38 | $25.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $15.85 Typical High $48.98 | Facility | 52 · Reduced service | $10.47 | $15.85 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.31 Typical High $19.50 | Facility | 53 · Discontinued | $4.27 | $6.31 | $19.50 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $16.22 Median $25.12 Typical High $97.72 | Facility | FX · Film X-ray | $16.22 | $25.12 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $13.18 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.61 |
Where Texas sits
The same service costs 3.5 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· 46th of 51
$30.90
AK $87.10FL $25.12
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.