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 $158.49 Median $575.44 Typical High $1,288.25 | Facility | None | $158.49 | $575.44 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $177.83 Typical High $1,023.29 | Facility | TC · Technical part | $104.71 | $177.83 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $354.81 | Professional | None (both parts) | $131.83 | $165.96 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $54.95 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $109.65 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $75.86 | $102.33 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $43.65 | $100.00 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $707.95 Typical High $1,380.38 | Facility | None | $251.19 | $707.95 | $1,380.38 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $43.65 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $43.65 | $120.23 | $199.53 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $144.54 | $151.36 | $218.78 |
Christus Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $870.96 | Facility | None | $251.19 | $363.08 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $87.10 | $147.91 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $102.33 | Professional | 26 · Professional part | $30.20 | $50.12 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $281.84 | Professional | TC · Technical part | $57.54 | $97.72 | $281.84 |
Health Smart Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Facility | None | $389.05 | $389.05 | $398.11 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $426.58 | Professional | None (both parts) | $323.59 | $371.54 | $426.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,621.81 | $1,819.70 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 26 · Professional part | $398.11 | $398.11 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $2,041.74 | $2,041.74 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $1,412.54 Typical High $2,691.53 | Facility | None | $199.53 | $1,412.54 | $2,691.53 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $1,862.09 | Facility | TC · Technical part | $104.71 | $213.80 | $1,862.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $371.54 | Professional | None (both parts) | $131.83 | $165.96 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $54.95 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $239.88 | Professional | TC · Technical part | $89.13 | $109.65 | $239.88 |
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 Professional Modifier None (both parts) Typical Low $54.95 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $54.95 | $117.49 | $275.42 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $302.00 Typical High $602.56 | Facility | None | $144.54 | $302.00 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $371.54 | Professional | None (both parts) | $87.10 | $147.91 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $50.12 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $251.19 | Professional | TC · Technical part | $57.54 | $97.72 | $251.19 |
United Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $363.08 | Facility | None | $263.03 | $275.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $346.74 | Professional | None (both parts) | $134.90 | $177.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $57.54 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $117.49 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
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 $38.90 Typical High $213.80 | Facility | 53 · Discontinued | $23.99 | $38.90 | $213.80 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $95.50 Median $151.36 Typical High $562.34 | Facility | CT · Older CT scanner | $95.50 | $151.36 | $562.34 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $141.25 Typical High $524.81 | Facility | FX · Film X-ray | $89.13 | $141.25 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $26.92 | $33.11 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $141.25 Typical High $177.83 | Professional | CT · Older CT scanner | $112.20 | $141.25 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $131.83 Typical High $169.82 | Professional | FX · Film X-ray | $107.15 | $131.83 | $169.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $89.13 Typical High $208.93 | Facility | 52 · Reduced service | $56.23 | $89.13 | $208.93 |
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 $95.50 Median $151.36 Typical High $588.84 | Facility | CT · Older CT scanner | $95.50 | $151.36 | $588.84 |
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 $66.07 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $26.92 | $32.36 | $41.69 |
Where Texas sits
The same service costs 5.9 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.