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 $371.54 Median $891.25 Typical High $1,819.70 | Facility | None | $371.54 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $2,754.23 | Facility | TC · Technical part | $251.19 | $426.58 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $234.42 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $275.42 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $199.53 | $208.93 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $51.29 | $91.20 |
BCBS Texas Setting Facility Modifier None Typical Low $380.19 Median $933.25 Typical High $1,737.80 | Facility | None | $380.19 | $933.25 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $57.54 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $57.54 | $218.78 | $489.78 |
Christus Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $66.07 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,023.29 | Facility | None | $426.58 | $660.69 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $151.36 | $257.04 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $467.74 | Professional | TC · Technical part | $112.20 | $190.55 | $467.74 |
Health Smart Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $467.74 | $524.81 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $630.96 Typical High $1,548.82 | Facility | None | $288.40 | $630.96 | $1,548.82 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $426.58 Typical High $1,318.26 | Facility | TC · Technical part | $251.19 | $426.58 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $234.42 | $371.54 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $91.20 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $275.42 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $30.90 | $173.78 | $239.88 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $562.34 Typical High $812.83 | Facility | None | $245.47 | $562.34 | $812.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $151.36 | $257.04 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $39.81 | $64.57 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $112.20 | $190.55 | $416.87 |
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 $245.47 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $245.47 | $331.13 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $251.19 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
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 $131.83 Median $213.80 Typical High $1,380.38 | Facility | 52 · Reduced service | $131.83 | $213.80 | $1,380.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $85.11 Typical High $549.54 | Facility | 53 · Discontinued | $53.70 | $85.11 | $549.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $323.59 Typical High $1,047.13 | Facility | FX · Film X-ray | $213.80 | $323.59 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $186.21 Typical High $251.19 | Professional | 52 · Reduced service | $117.49 | $186.21 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $74.13 Typical High $102.33 | Professional | 53 · Discontinued | $46.77 | $74.13 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $295.12 Typical High $407.38 | Professional | FX · Film X-ray | $186.21 | $295.12 | $407.38 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $125.89 Median $213.80 Typical High $478.63 | Facility | 52 · Reduced service | $125.89 | $213.80 | $478.63 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $85.11 Typical High $190.55 | Facility | 53 · Discontinued | $50.12 | $85.11 | $190.55 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $199.53 Median $281.84 Typical High $1,096.48 | Facility | FX · Film X-ray | $199.53 | $281.84 | $1,096.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $186.21 Typical High $251.19 | Professional | 52 · Reduced service | $117.49 | $186.21 | $251.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $74.13 Typical High $102.33 | Professional | 53 · Discontinued | $46.77 | $74.13 | $102.33 |
Where Texas sits
The same service costs 5.5 times more in Wyoming 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· 50th of 51
$214
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.