How much rates vary
Facilitymedian $151 · 10th to 90th $65 to $355Professionalmedian $28 · 10th to 90th $7 to $204
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 $26.30 Typical High $41.69 | Facility | None | $20.42 | $26.30 | $41.69 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $10.96 | Facility | 26 · Professional part | $5.62 | $7.24 | $10.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $29.51 Typical High $138.04 | Facility | TC · Technical part | $17.38 | $29.51 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $42.66 | Professional | None (both parts) | $20.42 | $26.30 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $12.02 | Professional | 26 · Professional part | $5.62 | $7.24 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.62 Typical High $30.90 | Professional | TC · Technical part | $14.79 | $18.62 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.39 Typical High $25.12 | Professional | None (both parts) | $20.89 | $22.39 | $25.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.24 Typical High $20.42 | Professional | 26 · Professional part | $6.76 | $7.24 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.20 Typical High $19.95 | Professional | TC · Technical part | $16.22 | $18.20 | $19.95 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $354.81 | Facility | None | $79.43 | $213.80 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.76 Median $24.55 Typical High $32.36 | Professional | None (both parts) | $6.76 | $24.55 | $32.36 |
Baylor Scott & White Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $302.00 | Facility | None | $87.10 | $87.10 | $302.00 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $29.51 | $30.90 | $46.77 |
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 $8.51 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.51 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $93.33 Typical High $380.19 | Facility | None | $38.02 | $93.33 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $17.78 | $26.92 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $5.01 | $7.59 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $19.50 Typical High $32.36 | Professional | TC · Technical part | $12.88 | $19.50 | $32.36 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $26.92 | $39.81 | $39.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $204.17 | $204.17 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $147.91 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $190.55 Typical High $489.78 | Facility | None | $37.15 | $190.55 | $489.78 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $389.05 | Facility | TC · Technical part | $18.20 | $29.51 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $46.77 | Professional | None (both parts) | $20.42 | $26.30 | $46.77 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.24 Typical High $13.49 | Professional | 26 · Professional part | $5.62 | $7.24 | $13.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.62 Typical High $30.90 | Professional | TC · Technical part | $14.79 | $18.62 | $30.90 |
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 $26.30 Median $83.18 Typical High $380.19 | Facility | None | $26.30 | $83.18 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.78 Median $26.92 Typical High $46.77 | Professional | None (both parts) | $17.78 | $26.92 | $46.77 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.41 Typical High $13.18 | Professional | 26 · Professional part | $5.01 | $7.41 | $13.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $19.05 Typical High $30.90 | Professional | TC · Technical part | $12.88 | $19.05 | $30.90 |
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 $23.44 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $23.44 | $28.84 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $8.51 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $30.20 | Professional | TC · Technical part | $16.22 | $19.95 | $30.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
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 $10.23 Median $16.22 Typical High $93.33 | Facility | 52 · Reduced service | $10.23 | $16.22 | $93.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $6.46 Typical High $37.15 | Facility | 53 · Discontinued | $4.07 | $6.46 | $37.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $16.60 Median $23.99 Typical High $87.10 | Facility | FX · Film X-ray | $16.60 | $23.99 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $16.22 | Professional | 52 · Reduced service | $10.23 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $6.46 | Professional | 53 · Discontinued | $4.07 | $5.13 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $20.89 Typical High $24.55 | Professional | FX · Film X-ray | $16.22 | $20.89 | $24.55 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.23 Median $14.79 Typical High $45.71 | Facility | 52 · Reduced service | $10.23 | $14.79 | $45.71 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $5.89 Typical High $18.20 | Facility | 53 · Discontinued | $4.07 | $5.89 | $18.20 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $15.14 Median $23.99 Typical High $91.20 | Facility | FX · Film X-ray | $15.14 | $23.99 | $91.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $15.49 | Professional | 52 · Reduced service | $10.23 | $12.88 | $15.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $6.17 | Professional | 53 · Discontinued | $4.07 | $5.13 | $6.17 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in New York. 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· 48th of 51
$28.18
AK $93.33NY $21.88
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.