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 $24.55 Median $31.62 Typical High $74.13 | Facility | None | $24.55 | $31.62 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $41.69 Typical High $245.47 | Facility | TC · Technical part | $25.12 | $41.69 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $38.90 | Professional | None (both parts) | $24.55 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $8.32 | Professional | 26 · Professional part | $5.13 | $6.76 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $24.55 | $30.20 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.47 Median $28.18 Typical High $40.74 | Professional | None (both parts) | $10.47 | $28.18 | $40.74 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $7.94 | Professional | 26 · Professional part | $7.59 | $7.59 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $123.03 Typical High $380.19 | Facility | None | $54.95 | $123.03 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $21.38 | $32.36 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $14.79 | Professional | 26 · Professional part | $4.68 | $7.08 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $16.60 | $25.70 | $45.71 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $38.02 | $47.86 | $47.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $245.47 | $245.47 | $316.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $190.55 | $190.55 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $58.88 | Facility | None | $24.55 | $37.15 | $58.88 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $38.90 Typical High $120.23 | Facility | TC · Technical part | $25.12 | $38.90 | $120.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $24.55 | $30.90 | $42.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $9.55 | Professional | 26 · Professional part | $5.13 | $6.76 | $9.55 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $19.50 | $24.55 | $33.11 |
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 $33.88 Median $109.65 Typical High $380.19 | Facility | None | $33.88 | $109.65 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.38 Median $32.36 Typical High $61.66 | Professional | None (both parts) | $21.38 | $32.36 | $61.66 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $4.68 | $7.08 | $13.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $25.12 | $40.74 |
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 $28.84 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $28.84 | $36.31 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $8.32 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $39.81 | Professional | TC · Technical part | $21.88 | $27.54 | $39.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
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 $12.59 Median $20.89 Typical High $123.03 | Facility | 52 · Reduced service | $12.59 | $20.89 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $8.51 Typical High $48.98 | Facility | 53 · Discontinued | $5.01 | $8.51 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $30.90 Typical High $114.82 | Facility | FX · Film X-ray | $21.88 | $30.90 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $12.30 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.17 Typical High $7.76 | Professional | 53 · Discontinued | $4.90 | $6.17 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $25.12 Typical High $30.20 | Professional | FX · Film X-ray | $19.95 | $25.12 | $30.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.59 Median $19.50 Typical High $60.26 | Facility | 52 · Reduced service | $12.59 | $19.50 | $60.26 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.01 Median $7.76 Typical High $23.99 | Facility | 53 · Discontinued | $5.01 | $7.76 | $23.99 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $19.95 Median $30.90 Typical High $120.23 | Facility | FX · Film X-ray | $19.95 | $30.90 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.49 Typical High $19.05 | Professional | 52 · Reduced service | $12.30 | $15.49 | $19.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.17 Typical High $7.59 | Professional | 53 · Discontinued | $4.90 | $6.17 | $7.59 |
Where Texas sits
The same service costs 3.7 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· 48th of 51
$32.36
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.