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 $67.61 Median $87.10 Typical High $165.96 | Facility | None | $67.61 | $87.10 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $537.03 | Facility | TC · Technical part | $54.95 | $91.20 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $67.61 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $33.11 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $53.70 | $72.44 |
BCBS Texas Setting Facility Modifier None Typical Low $269.15 Median $660.69 Typical High $1,348.96 | Facility | None | $269.15 | $660.69 | $1,348.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $34.67 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $34.67 | $91.20 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $38.90 | $38.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $263.03 Typical High $1,023.29 | Facility | None | $102.33 | $263.03 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $63.10 | $95.50 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $23.99 | $36.31 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $57.54 | $100.00 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $91.20 | $144.54 | $144.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $954.99 | Professional | None (both parts) | $724.44 | $724.44 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 26 · Professional part | $295.12 | $295.12 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $489.78 | $489.78 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $234.42 | Facility | None | $79.43 | $114.82 | $234.42 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $263.03 | Facility | TC · Technical part | $54.95 | $85.11 | $263.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $67.61 | $87.10 | $128.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $25.70 | $33.11 | $50.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | TC · Technical part | $42.66 | $53.70 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $10.23 | $56.23 | $100.00 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $251.19 Typical High $1,023.29 | Facility | None | $81.28 | $251.19 | $1,023.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $63.10 | $93.33 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $23.99 | $36.31 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $57.54 | $95.50 |
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 $81.28 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $81.28 | $104.71 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $63.10 | $91.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
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 $30.90 Median $45.71 Typical High $269.15 | Facility | 52 · Reduced service | $30.90 | $45.71 | $269.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $18.20 Typical High $107.15 | Facility | 53 · Discontinued | $12.30 | $18.20 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $47.86 Median $67.61 Typical High $251.19 | Facility | FX · Film X-ray | $47.86 | $67.61 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $43.65 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $17.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $69.18 Typical High $83.18 | Professional | FX · Film X-ray | $54.95 | $69.18 | $83.18 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $29.51 Median $43.65 Typical High $131.83 | Facility | 52 · Reduced service | $29.51 | $43.65 | $131.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $17.78 Typical High $52.48 | Facility | 53 · Discontinued | $12.02 | $17.78 | $52.48 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $43.65 Median $67.61 Typical High $263.03 | Facility | FX · Film X-ray | $43.65 | $67.61 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $43.65 Typical High $52.48 | Professional | 52 · Reduced service | $33.88 | $43.65 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $20.89 | Professional | 53 · Discontinued | $13.80 | $17.38 | $20.89 |
Where Texas sits
The same service costs 4.4 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· 50th of 51
$77.62
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.