How much rates vary
Facilitymedian $490 · 10th to 90th $234 to $1,479Professionalmedian $132 · 10th to 90th $22 to $417
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 $229.09 Median $602.56 Typical High $1,288.25 | Facility | None | $229.09 | $602.56 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $1,584.89 | Facility | TC · Technical part | $154.88 | $263.03 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $194.98 | $239.88 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $75.86 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $162.18 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $177.83 | $177.83 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $61.66 | $141.25 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,380.38 | Facility | None | $245.47 | $691.83 | $1,380.38 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $63.10 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $63.10 | $181.97 | $288.40 |
Baylor Scott & White Setting Facility Modifier None Typical Low $218.78 Median $588.84 Typical High $891.25 | Facility | None | $218.78 | $588.84 | $891.25 |
Christus Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $38.90 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $524.81 Typical High $870.96 | Facility | None | $354.81 | $524.81 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $128.82 | $213.80 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $43.65 | $70.79 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $354.81 | Professional | TC · Technical part | $83.18 | $144.54 | $354.81 |
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 $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $1,995.26 | $2,137.96 | $2,137.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $616.60 | Professional | 26 · Professional part | $489.78 | $489.78 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | TC · Technical part | $1,995.26 | $1,995.26 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $851.14 Typical High $2,630.27 | Facility | None | $234.42 | $851.14 | $2,630.27 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $316.23 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $316.23 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $194.98 | $239.88 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $77.62 | $102.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $162.18 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $104.71 Typical High $234.42 | Professional | None (both parts) | $18.20 | $104.71 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $77.62 | $165.96 | $398.11 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $398.11 Typical High $616.60 | Facility | None | $208.93 | $398.11 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $128.82 | $213.80 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $70.79 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $144.54 | $309.03 |
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 $199.53 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $199.53 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $199.53 | $338.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
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 $89.13 Median $141.25 Typical High $794.33 | Facility | 52 · Reduced service | $89.13 | $141.25 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $56.23 Typical High $316.23 | Facility | 53 · Discontinued | $35.48 | $56.23 | $316.23 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $141.25 Median $223.87 Typical High $812.83 | Facility | CT · Older CT scanner | $141.25 | $223.87 | $812.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $131.83 Median $208.93 Typical High $776.25 | Facility | FX · Film X-ray | $131.83 | $208.93 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $47.86 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $204.17 Typical High $263.03 | Professional | CT · Older CT scanner | $165.96 | $204.17 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $194.98 Typical High $245.47 | Professional | FX · Film X-ray | $154.88 | $194.98 | $245.47 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $83.18 Median $131.83 Typical High $309.03 | Facility | 52 · Reduced service | $83.18 | $131.83 | $309.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $52.48 Typical High $123.03 | Facility | 53 · Discontinued | $33.11 | $52.48 | $123.03 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $141.25 Median $223.87 Typical High $870.96 | Facility | CT · Older CT scanner | $141.25 | $223.87 | $870.96 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $131.83 Median $208.93 Typical High $812.83 | Facility | FX · Film X-ray | $131.83 | $208.93 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $117.49 | $154.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $38.90 | $46.77 | $61.66 |
Where Texas sits
The same service costs 6.3 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 $851UT $135
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.