How much rates vary
Facilitymedian $1,023 · 10th to 90th $372 to $2,754Professionalmedian $245 · 10th to 90th $43 to $562
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 $478.63 Median $891.25 Typical High $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $549.54 Typical High $3,548.13 | Facility | TC · Technical part | $331.13 | $549.54 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $302.00 | $467.74 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $107.15 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $338.84 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $346.74 | $346.74 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $112.20 | Professional | 26 · Professional part | $64.57 | $66.07 | $112.20 |
BCBS Texas Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $2,884.03 | Facility | None | $489.78 | $1,445.44 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $66.07 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $66.07 | $275.42 | $407.38 |
Baylor Scott & White Setting Facility Modifier None Typical Low $380.19 Median $776.25 Typical High $1,412.54 | Facility | None | $380.19 | $776.25 | $1,412.54 |
Christus Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $79.43 | $79.43 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $912.01 Typical High $1,659.59 | Facility | None | $645.65 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $1,047.13 | Professional | None (both parts) | $199.53 | $338.84 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $79.43 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $263.03 Typical High $891.25 | Professional | TC · Technical part | $151.36 | $263.03 | $891.25 |
Health Smart Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $575.44 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $575.44 | $660.69 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $5,495.41 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $812.83 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | TC · Technical part | $5,011.87 | $5,011.87 | $5,011.87 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $1,548.82 Typical High $3,235.94 | Facility | None | $524.81 | $1,548.82 | $3,235.94 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $630.96 Typical High $1,445.44 | Facility | TC · Technical part | $331.13 | $630.96 | $1,445.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $302.00 | $478.63 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $109.65 | $162.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $354.81 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $331.13 | Professional | None (both parts) | $20.89 | $107.15 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $87.10 | $288.40 | $616.60 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $891.25 Typical High $1,174.90 | Facility | None | $338.84 | $891.25 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $977.24 | Professional | None (both parts) | $199.53 | $338.84 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $79.43 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $776.25 | Professional | TC · Technical part | $151.36 | $257.04 | $776.25 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $316.23 | $512.86 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $91.20 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $398.11 Typical High $812.83 | Professional | TC · Technical part | $245.47 | $398.11 | $812.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
11 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 $173.78 Median $281.84 Typical High $1,778.28 | Facility | 52 · Reduced service | $173.78 | $281.84 | $1,778.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $112.20 Typical High $707.95 | Facility | 53 · Discontinued | $69.18 | $112.20 | $707.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $380.19 Typical High $1,348.96 | Facility | FX · Film X-ray | $275.42 | $380.19 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $234.42 Typical High $323.59 | Professional | 52 · Reduced service | $151.36 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $93.33 Typical High $131.83 | Professional | 53 · Discontinued | $60.26 | $93.33 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $380.19 Typical High $524.81 | Professional | FX · Film X-ray | $239.88 | $380.19 | $524.81 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $165.96 Median $275.42 Typical High $616.60 | Facility | 52 · Reduced service | $165.96 | $275.42 | $616.60 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $112.20 Typical High $251.19 | Facility | 53 · Discontinued | $66.07 | $112.20 | $251.19 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $371.54 Typical High $1,445.44 | Facility | FX · Film X-ray | $263.03 | $371.54 | $1,445.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $234.42 Typical High $323.59 | Professional | 52 · Reduced service | $151.36 | $234.42 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $93.33 Typical High $131.83 | Professional | 53 · Discontinued | $60.26 | $93.33 | $131.83 |
Where Texas sits
The same service costs 5.6 times more in Wyoming 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
$263
WY $1,380UT $245
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.