How much rates vary
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 $34.67 Median $40.74 Typical High $44.67 | Facility | None | $34.67 | $40.74 | $44.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $346.74 | Facility | TC · Technical part | $34.67 | $57.54 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $34.67 | $43.65 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $9.55 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $34.67 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $42.66 | Professional | None (both parts) | $35.48 | $40.74 | $42.66 |
BCBS Setting Facility Modifier None Typical Low $95.50 Median $239.88 Typical High $371.54 | Facility | None | $95.50 | $239.88 | $371.54 |
BCBS Setting Professional Modifier None (both parts) Typical Low $10.23 Median $40.74 Typical High $58.88 | Professional | None (both parts) | $10.23 | $40.74 | $58.88 |
Christus Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $11.22 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $162.18 Typical High $380.19 | Facility | None | $61.66 | $162.18 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $30.20 | $45.71 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.00 Typical High $20.42 | Professional | 26 · Professional part | $6.46 | $10.00 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $23.44 | $35.48 | $61.66 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $46.77 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $46.77 | $69.18 | $69.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $346.74 | $346.74 | $457.09 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $275.42 | $275.42 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $151.36 Typical High $331.13 | Facility | None | $42.66 | $151.36 | $331.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $213.80 | Facility | TC · Technical part | $34.67 | $54.95 | $213.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $72.44 | Professional | None (both parts) | $34.67 | $43.65 | $72.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $15.85 | Professional | 26 · Professional part | $7.41 | $9.55 | $15.85 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $57.54 | Professional | TC · Technical part | $27.54 | $34.67 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.84 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.84 | $36.31 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $147.91 Typical High $380.19 | Facility | None | $44.67 | $147.91 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $30.20 | $45.71 | $83.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.00 Typical High $18.62 | Professional | 26 · Professional part | $6.46 | $10.00 | $18.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $56.23 | Professional | TC · Technical part | $23.44 | $35.48 | $56.23 |
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 $38.90 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $38.90 | $47.86 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $9.55 | $12.02 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $29.51 | $35.48 | $54.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
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 $17.78 Median $29.51 Typical High $173.78 | Facility | 52 · Reduced service | $17.78 | $29.51 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $12.02 Typical High $69.18 | Facility | 53 · Discontinued | $7.08 | $12.02 | $69.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.90 Median $44.67 Typical High $162.18 | Facility | FX · Film X-ray | $30.90 | $44.67 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $21.88 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.71 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $8.71 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $35.48 Typical High $40.74 | Professional | FX · Film X-ray | $28.18 | $35.48 | $40.74 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $17.78 Median $27.54 Typical High $85.11 | Facility | 52 · Reduced service | $17.78 | $27.54 | $85.11 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $10.96 Typical High $33.88 | Facility | 53 · Discontinued | $7.08 | $10.96 | $33.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $28.18 Median $44.67 Typical High $169.82 | Facility | FX · Film X-ray | $28.18 | $44.67 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $21.88 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.71 Typical High $10.72 | Professional | 53 · Discontinued | $7.08 | $8.71 | $10.72 |
Where Texas sits
The same service costs 4.5 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
$40.74
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.