How much rates vary
Facilitymedian $191 · 10th to 90th $85 to $479Professionalmedian $31 · 10th to 90th $6 to $229
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 $23.44 Median $28.84 Typical High $51.29 | Facility | None | $23.44 | $28.84 | $51.29 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $35.48 Typical High $165.96 | Facility | TC · Technical part | $20.89 | $35.48 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $50.12 | Professional | None (both parts) | $23.44 | $29.51 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $12.88 | Professional | 26 · Professional part | $5.62 | $7.24 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $37.15 | Professional | TC · Technical part | $17.78 | $22.39 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $35.48 | Professional | None (both parts) | $23.44 | $28.84 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.24 Typical High $20.42 | Professional | 26 · Professional part | $6.03 | $7.24 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $21.88 | $21.88 | $21.88 |
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 $7.24 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $7.24 | $27.54 | $37.15 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $33.88 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $33.88 | $35.48 | $46.77 |
Christus Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $4.68 Typical High $8.13 | Professional | 26 · Professional part | $4.68 | $4.68 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $114.82 Typical High $467.74 | Facility | None | $48.98 | $114.82 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $20.42 | $31.62 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $18.20 | Professional | 26 · Professional part | $5.01 | $7.59 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $15.49 | $23.44 | $41.69 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $36.31 | $45.71 | $45.71 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $229.09 | $229.09 | $309.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | TC · Technical part | $213.80 | $213.80 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $33.88 Median $275.42 Typical High $446.68 | Facility | None | $33.88 | $275.42 | $446.68 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $371.54 | Facility | TC · Technical part | $21.38 | $38.90 | $371.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $23.44 | $29.51 | $52.48 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $14.79 | Professional | 26 · Professional part | $5.62 | $7.24 | $14.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $22.39 | $38.02 |
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 $31.62 Median $104.71 Typical High $467.74 | Facility | None | $31.62 | $104.71 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $20.42 | $30.90 | $60.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $16.22 | Professional | 26 · Professional part | $5.01 | $7.59 | $16.22 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $15.49 | $22.91 | $38.02 |
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 $28.84 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $28.84 | $35.48 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $19.50 | Professional | 26 · Professional part | $8.32 | $10.96 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $24.55 | $37.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
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 $11.75 Median $19.05 Typical High $112.20 | Facility | 52 · Reduced service | $11.75 | $19.05 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $7.59 Typical High $44.67 | Facility | 53 · Discontinued | $4.68 | $7.59 | $44.67 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.95 Median $28.18 Typical High $104.71 | Facility | FX · Film X-ray | $19.95 | $28.18 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $14.79 Typical High $18.62 | Professional | 52 · Reduced service | $11.75 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.89 Typical High $7.41 | Professional | 53 · Discontinued | $4.68 | $5.89 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $23.99 Typical High $28.84 | Professional | FX · Film X-ray | $18.62 | $23.99 | $28.84 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $11.75 Median $17.78 Typical High $54.95 | Facility | 52 · Reduced service | $11.75 | $17.78 | $54.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.68 Median $7.08 Typical High $21.88 | Facility | 53 · Discontinued | $4.68 | $7.08 | $21.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $18.20 Median $28.18 Typical High $109.65 | Facility | FX · Film X-ray | $18.20 | $28.18 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $14.79 Typical High $18.62 | Professional | 52 · Reduced service | $11.75 | $14.79 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.89 Typical High $7.41 | Professional | 53 · Discontinued | $4.68 | $5.89 | $7.41 |
Where Texas sits
The same service costs 3.6 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· 50th of 51
$31.62
AK $105FL $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.