How much rates vary
Facilitymedian $132 · 10th to 90th $3 to $347Professionalmedian $19 · 10th to 90th $11 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 $7.76 Median $14.79 Typical High $19.50 | Facility | None | $7.76 | $14.79 | $19.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $6.61 Median $11.22 Typical High $66.07 | Facility | TC · Technical part | $6.61 | $11.22 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.79 Typical High $23.44 | Professional | None (both parts) | $11.48 | $14.79 | $23.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $12.02 | Professional | 26 · Professional part | $6.31 | $8.13 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $6.61 Typical High $12.30 | Professional | TC · Technical part | $5.13 | $6.61 | $12.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | None (both parts) | $18.62 | $18.62 | $19.50 |
BCBS Texas Setting Facility Modifier None Typical Low $91.20 Median $239.88 Typical High $371.54 | Facility | None | $91.20 | $239.88 | $371.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $7.76 Median $14.79 Typical High $22.91 | Professional | None (both parts) | $7.76 | $14.79 | $22.91 |
Christus Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $57.54 Typical High $380.19 | Facility | None | $21.88 | $57.54 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $16.22 Typical High $36.31 | Professional | None (both parts) | $10.96 | $16.22 | $36.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $17.38 | Professional | 26 · Professional part | $5.75 | $8.51 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $7.59 Typical High $17.78 | Professional | TC · Technical part | $5.13 | $7.59 | $17.78 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $186.21 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $134.90 | $134.90 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $12.02 Median $46.77 Typical High $354.81 | Facility | None | $12.02 | $46.77 | $354.81 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $6.61 Median $10.47 Typical High $38.02 | Facility | TC · Technical part | $6.61 | $10.47 | $38.02 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $11.48 Median $14.79 Typical High $25.70 | Professional | None (both parts) | $11.48 | $14.79 | $25.70 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $13.49 | Professional | 26 · Professional part | $6.31 | $8.13 | $13.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $6.61 Typical High $12.59 | Professional | TC · Technical part | $5.13 | $6.61 | $12.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.92 Median $8.13 Typical High $15.49 | Professional | None (both parts) | $6.92 | $8.13 | $15.49 |
Providence Setting Facility Modifier None Typical Low $16.22 Median $37.15 Typical High $380.19 | Facility | None | $16.22 | $37.15 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $10.96 Median $16.22 Typical High $35.48 | Professional | None (both parts) | $10.96 | $16.22 | $35.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $8.51 | $15.85 |
Providence Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $7.41 Typical High $14.79 | Professional | TC · Technical part | $5.13 | $7.41 | $14.79 |
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 $15.49 Median $19.95 Typical High $33.88 | Professional | None (both parts) | $15.49 | $19.95 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $10.23 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $8.91 Typical High $16.60 | Professional | TC · Technical part | $6.92 | $8.91 | $16.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | TC · Technical part | $9.33 | $9.33 | $9.33 |
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 $3.80 Median $7.41 Typical High $33.11 | Facility | 52 · Reduced service | $3.80 | $7.41 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.51 Median $2.95 Typical High $13.18 | Facility | 53 · Discontinued | $1.51 | $2.95 | $13.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $5.75 Median $9.77 Typical High $30.20 | Facility | FX · Film X-ray | $5.75 | $9.77 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.41 Typical High $9.77 | Professional | 52 · Reduced service | $5.75 | $7.41 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.95 Typical High $3.98 | Professional | 53 · Discontinued | $2.29 | $2.95 | $3.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.12 Median $11.75 Typical High $14.45 | Professional | FX · Film X-ray | $9.12 | $11.75 | $14.45 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $3.63 Median $6.17 Typical High $15.85 | Facility | 52 · Reduced service | $3.63 | $6.17 | $15.85 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $1.45 Median $2.51 Typical High $6.46 | Facility | 53 · Discontinued | $1.45 | $2.51 | $6.46 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $5.37 Median $8.32 Typical High $32.36 | Facility | FX · Film X-ray | $5.37 | $8.32 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.41 Typical High $9.77 | Professional | 52 · Reduced service | $5.75 | $7.41 | $9.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.95 Typical High $3.89 | Professional | 53 · Discontinued | $2.29 | $2.95 | $3.89 |
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· 49th of 51
$19.50
AK $56.23FL $15.49
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.