How much rates vary
Facilitymedian $1,202 · 10th to 90th $339 to $3,388Professionalmedian $209 · 10th to 90th $34 to $676
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 $331.13 Median $707.95 Typical High $1,778.28 | Facility | None | $331.13 | $707.95 | $1,778.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $128.82 Typical High $186.21 | Facility | 26 · Professional part | $89.13 | $128.82 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $1,778.28 | Facility | TC · Technical part | $223.87 | $380.19 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $281.84 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $89.13 | $138.04 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $295.12 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $213.80 | $257.04 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $81.28 | $87.10 | $199.53 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $199.53 | $223.87 |
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 $85.11 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $85.11 | $245.47 | $389.05 |
Baylor Scott & White Setting Facility Modifier None Typical Low $346.74 Median $1,995.26 Typical High $5,128.61 | Facility | None | $346.74 | $1,995.26 | $5,128.61 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $302.00 | $316.23 | $489.78 |
Christus Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $104.71 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $1,659.59 | Facility | None | $524.81 | $776.25 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $309.03 Typical High $912.01 | Professional | None (both parts) | $186.21 | $309.03 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $199.53 | Professional | 26 · Professional part | $63.10 | $100.00 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $208.93 Typical High $707.95 | Professional | TC · Technical part | $123.03 | $208.93 | $707.95 |
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 $346.74 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $346.74 | $645.65 | $1,659.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $6,309.57 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $912.01 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | TC · Technical part | $5,754.40 | $5,754.40 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $1,819.70 Typical High $4,677.35 | Facility | None | $398.11 | $1,819.70 | $4,677.35 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $186.21 | Facility | 26 · Professional part | $89.13 | $117.49 | $186.21 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $724.44 Typical High $6,025.60 | Facility | TC · Technical part | $234.42 | $724.44 | $6,025.60 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $281.84 | $436.52 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $89.13 | $141.25 | $218.78 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $295.12 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $295.12 | Professional | None (both parts) | $20.89 | $107.15 | $295.12 |
Oscar Health Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $630.96 | Facility | None | $309.03 | $630.96 | $630.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $575.44 | Professional | None (both parts) | $112.20 | $239.88 | $575.44 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $870.96 Typical High $1,348.96 | Facility | None | $316.23 | $870.96 | $1,348.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $186.21 Median $309.03 Typical High $851.14 | Professional | None (both parts) | $186.21 | $309.03 | $851.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $100.00 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $208.93 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $208.93 | $602.56 |
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 $288.40 Median $389.05 Typical High $977.24 | Professional | None (both parts) | $288.40 | $389.05 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $117.49 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $269.15 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $269.15 | $741.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
12 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 $141.25 Median $229.09 Typical High $1,445.44 | Facility | 52 · Reduced service | $141.25 | $229.09 | $1,445.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $588.84 | Facility | 53 · Discontinued | $57.54 | $91.20 | $588.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $229.09 Median $346.74 Typical High $1,122.02 | Facility | FX · Film X-ray | $229.09 | $346.74 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $56.23 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $346.74 Typical High $478.63 | Professional | FX · Film X-ray | $223.87 | $346.74 | $478.63 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | 59 · Distinct service | $245.47 | $245.47 | $257.04 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $147.91 Median $354.81 Typical High $776.25 | Facility | 52 · Reduced service | $147.91 | $354.81 | $776.25 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $91.20 Typical High $204.17 | Facility | 53 · Discontinued | $56.23 | $91.20 | $204.17 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $302.00 Typical High $1,174.90 | Facility | FX · Film X-ray | $213.80 | $302.00 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $213.80 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $56.23 | $85.11 | $120.23 |
Where Texas sits
The same service costs 6.6 times more in Vermont 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
$229
VT $1,349UT $204
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.