How much rates vary
Facilitymedian $447 · 10th to 90th $170 to $1,349Professionalmedian $141 · 10th to 90th $25 to $501
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 $194.98 Median $630.96 Typical High $1,288.25 | Facility | None | $194.98 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $1,380.38 | Facility | TC · Technical part | $134.90 | $245.47 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $162.18 | $199.53 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $61.66 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $112.20 | $138.04 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $123.03 | $186.21 | $186.21 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,412.54 | Facility | None | $245.47 | $691.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $48.98 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $48.98 | $144.54 | $229.09 |
Christus Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $870.96 | Facility | None | $309.03 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $446.68 | Professional | None (both parts) | $107.15 | $177.83 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $33.88 | $56.23 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $72.44 | $123.03 | $346.74 |
Health Smart Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $371.54 | $426.58 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $1,995.26 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | 26 · Professional part | $478.63 | $478.63 | $489.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $1,621.81 | $1,778.28 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $537.03 Typical High $2,137.96 | Facility | None | $199.53 | $537.03 | $2,137.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $223.87 Typical High $691.83 | Facility | TC · Technical part | $138.04 | $223.87 | $691.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $162.18 | $199.53 | $407.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $61.66 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $112.20 | $138.04 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $21.38 | $117.49 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $61.66 Median $141.25 Typical High $338.84 | Professional | None (both parts) | $61.66 | $141.25 | $338.84 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $588.84 | Facility | None | $177.83 | $371.54 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $446.68 | Professional | None (both parts) | $107.15 | $177.83 | $446.68 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $33.88 | $56.23 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $72.44 | $123.03 | $302.00 |
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 $165.96 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $165.96 | $218.78 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $147.91 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
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 $75.86 Median $123.03 Typical High $676.08 | Facility | 52 · Reduced service | $75.86 | $123.03 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.90 Median $48.98 Typical High $275.42 | Facility | 53 · Discontinued | $30.90 | $48.98 | $275.42 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $120.23 Median $190.55 Typical High $707.95 | Facility | CT · Older CT scanner | $120.23 | $190.55 | $707.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $181.97 Typical High $660.69 | Facility | FX · Film X-ray | $114.82 | $181.97 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $100.00 Typical High $128.82 | Professional | 52 · Reduced service | $81.28 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $51.29 | Professional | 53 · Discontinued | $32.36 | $39.81 | $51.29 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $169.82 Typical High $218.78 | Professional | CT · Older CT scanner | $138.04 | $169.82 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $162.18 Typical High $204.17 | Professional | FX · Film X-ray | $128.82 | $162.18 | $204.17 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $70.79 Median $112.20 Typical High $263.03 | Facility | 52 · Reduced service | $70.79 | $112.20 | $263.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $44.67 Typical High $104.71 | Facility | 53 · Discontinued | $28.18 | $44.67 | $104.71 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $120.23 Median $190.55 Typical High $741.31 | Facility | CT · Older CT scanner | $120.23 | $190.55 | $741.31 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $114.82 Median $181.97 Typical High $691.83 | Facility | FX · Film X-ray | $114.82 | $181.97 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | 52 · Reduced service | $81.28 | $97.72 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.90 Typical High $51.29 | Professional | 53 · Discontinued | $32.36 | $38.90 | $51.29 |
Where Texas sits
The same service costs 5.1 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
$145
AK $676UT $132
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.