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 $147.91 Median $575.44 Typical High $1,288.25 | Facility | None | $147.91 | $575.44 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $177.83 Typical High $1,023.29 | Facility | TC · Technical part | $93.33 | $177.83 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $138.04 | $169.82 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $63.10 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $89.13 | $109.65 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $107.15 | $107.15 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $48.98 | $138.04 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
BCBS Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $851.14 | Facility | None | $125.89 | $426.58 | $851.14 |
BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $48.98 | $125.89 | $208.93 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $151.36 | $158.49 | $229.09 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $870.96 | Facility | None | $245.47 | $363.08 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $165.96 Typical High $371.54 | Professional | None (both parts) | $91.20 | $165.96 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $57.54 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $275.42 | Professional | TC · Technical part | $57.54 | $107.15 | $275.42 |
Health Smart Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $346.74 | Facility | None | $338.84 | $338.84 | $346.74 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $281.84 | $338.84 | $371.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,479.11 | $1,778.28 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $489.78 | $524.81 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,174.90 | $1,412.54 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $1,258.93 Typical High $2,398.83 | Facility | None | $173.78 | $1,258.93 | $2,398.83 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $302.00 Typical High $2,187.76 | Facility | TC · Technical part | $109.65 | $302.00 | $2,187.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $138.04 | $169.82 | $346.74 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $63.10 | $95.50 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $109.65 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $87.10 Typical High $134.90 | Professional | None (both parts) | $15.49 | $87.10 | $134.90 |
Oscar Health Setting Facility Modifier None Typical Low $151.36 Median $407.38 Typical High $407.38 | Facility | None | $151.36 | $407.38 | $407.38 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $416.87 | Facility | None | $151.36 | $281.84 | $416.87 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $91.20 | $158.49 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $57.54 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $239.88 | Professional | TC · Technical part | $57.54 | $97.72 | $239.88 |
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 $162.18 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $162.18 | $234.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $112.20 | Professional | 26 · Professional part | $48.98 | $64.57 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $165.96 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
14 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 $60.26 Median $95.50 Typical High $537.03 | Facility | 52 · Reduced service | $60.26 | $95.50 | $537.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.99 Median $38.02 Typical High $213.80 | Facility | 53 · Discontinued | $23.99 | $38.02 | $213.80 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $93.33 Median $151.36 Typical High $549.54 | Facility | CT · Older CT scanner | $93.33 | $151.36 | $549.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $141.25 Typical High $512.86 | Facility | FX · Film X-ray | $89.13 | $141.25 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $33.88 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $117.49 Median $144.54 Typical High $186.21 | Professional | CT · Older CT scanner | $117.49 | $144.54 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $138.04 Typical High $173.78 | Professional | FX · Film X-ray | $109.65 | $138.04 | $173.78 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $89.13 Typical High $204.17 | Facility | 52 · Reduced service | $54.95 | $89.13 | $204.17 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $35.48 Typical High $83.18 | Facility | 53 · Discontinued | $22.39 | $35.48 | $83.18 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $93.33 Median $151.36 Typical High $575.44 | Facility | CT · Older CT scanner | $93.33 | $151.36 | $575.44 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $141.25 Typical High $549.54 | Facility | FX · Film X-ray | $89.13 | $141.25 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $69.18 | $85.11 | $109.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $33.88 | $43.65 |
Where Texas sits
The same service costs 6.2 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
$117
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.