How much rates vary
Facilitymedian $457 · 10th to 90th $123 to $2,089Professionalmedian $83 · 10th to 90th $14 to $331
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 $93.33 Median $131.83 Typical High $1,174.90 | Facility | None | $93.33 | $131.83 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $50.12 | Facility | 26 · Professional part | $33.11 | $38.02 | $50.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $436.52 | Facility | TC · Technical part | $58.88 | $74.13 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $302.00 | Professional | None (both parts) | $91.20 | $114.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $41.69 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $162.18 | Professional | TC · Technical part | $58.88 | $72.44 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $72.44 | $87.10 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $33.11 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | TC · Technical part | $44.67 | $44.67 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $851.14 | Facility | None | $125.89 | $426.58 | $851.14 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $33.11 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $33.11 | $85.11 | $141.25 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $102.33 | $107.15 | $165.96 |
Christus Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $870.96 | Facility | None | $165.96 | $245.47 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $269.15 | Professional | None (both parts) | $61.66 | $102.33 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $22.91 | $37.15 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $64.57 Typical High $194.98 | Professional | TC · Technical part | $38.90 | $64.57 | $194.98 |
Health Smart Setting Facility Modifier None Typical Low $151.36 Median $346.74 Typical High $602.56 | Facility | None | $151.36 | $346.74 | $602.56 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $602.56 | Professional | None (both parts) | $117.49 | $162.18 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $977.24 Typical High $2,570.40 | Facility | None | $131.83 | $977.24 | $2,570.40 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $53.70 | Facility | 26 · Professional part | $33.11 | $38.02 | $53.70 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $281.84 Typical High $1,202.26 | Facility | TC · Technical part | $61.66 | $281.84 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $323.59 | Professional | None (both parts) | $91.20 | $114.82 | $323.59 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $41.69 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $72.44 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $57.54 Typical High $100.00 | Professional | None (both parts) | $10.47 | $57.54 | $100.00 |
Oscar Health Setting Facility Modifier None Typical Low $758.58 Median $2,454.71 Typical High $2,454.71 | Facility | None | $758.58 | $2,454.71 | $2,454.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $194.98 | Professional | None (both parts) | $41.69 | $89.13 | $194.98 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $407.38 | Facility | None | $102.33 | $239.88 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $61.66 | $102.33 | $263.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $22.91 | $37.15 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $38.90 | $64.57 | $173.78 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $93.33 | $123.03 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $43.65 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $75.86 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
17 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 $39.81 Median $63.10 Typical High $354.81 | Facility | 52 · Reduced service | $39.81 | $63.10 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.85 Median $25.70 Typical High $141.25 | Facility | 53 · Discontinued | $15.85 | $25.70 | $141.25 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $63.10 Median $100.00 Typical High $371.54 | Facility | CT · Older CT scanner | $63.10 | $100.00 | $371.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $93.33 Typical High $346.74 | Facility | FX · Film X-ray | $58.88 | $93.33 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $57.54 Typical High $81.28 | Professional | 52 · Reduced service | $45.71 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.91 Typical High $32.36 | Professional | 53 · Discontinued | $18.62 | $22.91 | $32.36 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $77.62 Median $97.72 Typical High $123.03 | Professional | CT · Older CT scanner | $77.62 | $97.72 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $91.20 Typical High $117.49 | Professional | FX · Film X-ray | $74.13 | $91.20 | $117.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | 59 · Distinct service | $72.44 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | Q6 · Substitute physician, paid per time | $85.11 | $85.11 | $85.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $37.15 Median $58.88 Typical High $138.04 | Facility | 52 · Reduced service | $37.15 | $58.88 | $138.04 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $23.44 Typical High $54.95 | Facility | 53 · Discontinued | $14.79 | $23.44 | $54.95 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $63.10 Median $100.00 Typical High $575.44 | Facility | CT · Older CT scanner | $63.10 | $100.00 | $575.44 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $93.33 Typical High $363.08 | Facility | FX · Film X-ray | $58.88 | $93.33 | $363.08 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $776.25 Median $2,238.72 Typical High $2,754.23 | Facility | XU · Unusual separate service | $776.25 | $2,238.72 | $2,754.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $56.23 Typical High $72.44 | Professional | 52 · Reduced service | $45.71 | $56.23 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $28.84 | Professional | 53 · Discontinued | $18.62 | $22.39 | $28.84 |
Where Texas sits
The same service costs 20.4 times more in Vermont 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
$89.13
VT $1,585UT $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.