How much rates vary
Facilitymedian $1,288 · 10th to 90th $537 to $3,311Professionalmedian $617 · 10th to 90th $162 to $4,786
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 $645.65 Median $954.99 Typical High $1,819.70 | Facility | None | $645.65 | $954.99 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $954.99 Typical High $6,165.95 | Facility | TC · Technical part | $562.34 | $954.99 | $6,165.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $446.68 | $630.96 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $190.55 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $190.55 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $630.96 Typical High $794.33 | Professional | TC · Technical part | $398.11 | $630.96 | $794.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
BCBS Texas Setting Facility Modifier None Typical Low $562.34 Median $1,479.11 Typical High $2,884.03 | Facility | None | $562.34 | $1,479.11 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $125.89 Median $588.84 Typical High $1,258.93 | Professional | None (both parts) | $125.89 | $588.84 | $1,258.93 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $141.25 | $141.25 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,311.31 Typical High $5,011.87 | Facility | None | $870.96 | $3,311.31 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $2,238.72 | Professional | None (both parts) | $794.33 | $1,174.90 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $87.10 | $131.83 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,071.52 Typical High $1,995.26 | Professional | TC · Technical part | $691.83 | $1,071.52 | $1,995.26 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $398.11 Median $630.96 Typical High $676.08 | Professional | None (both parts) | $398.11 | $630.96 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None (both parts) | $7,079.46 | $7,079.46 | $7,079.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $1,288.25 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | TC · Technical part | $6,918.31 | $6,918.31 | $6,918.31 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $870.96 Typical High $1,412.54 | Facility | None | $234.42 | $870.96 | $1,412.54 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $977.24 Typical High $2,137.96 | Facility | TC · Technical part | $562.34 | $977.24 | $2,137.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $630.96 Typical High $954.99 | Professional | None (both parts) | $446.68 | $630.96 | $954.99 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $123.03 | $199.53 | $257.04 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $588.84 Typical High $758.58 | Professional | TC · Technical part | $398.11 | $588.84 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $162.18 | $173.78 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $338.84 | Professional | None (both parts) | $154.88 | $275.42 | $338.84 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $870.96 Typical High $4,466.84 | Facility | None | $173.78 | $870.96 | $4,466.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,174.90 Typical High $1,995.26 | Professional | None (both parts) | $794.33 | $1,174.90 | $1,995.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $131.83 | $245.47 |
Providence Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,047.13 Typical High $1,949.84 | Professional | TC · Technical part | $691.83 | $1,047.13 | $1,949.84 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $575.44 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $575.44 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $162.18 Typical High $281.84 | Professional | 26 · Professional part | $120.23 | $162.18 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $407.38 Typical High $724.44 | Professional | TC · Technical part | $190.55 | $407.38 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
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 $281.84 Median $478.63 Typical High $3,090.30 | Facility | 52 · Reduced service | $281.84 | $478.63 | $3,090.30 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $190.55 Typical High $1,230.27 | Facility | 53 · Discontinued | $112.20 | $190.55 | $1,230.27 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $457.09 Median $645.65 Typical High $2,344.23 | Facility | FX · Film X-ray | $457.09 | $645.65 | $2,344.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $331.13 Typical High $446.68 | Professional | 52 · Reduced service | $218.78 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $131.83 Typical High $177.83 | Professional | 53 · Discontinued | $89.13 | $131.83 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $562.34 Typical High $724.44 | Professional | FX · Film X-ray | $354.81 | $562.34 | $724.44 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $281.84 Median $478.63 Typical High $1,071.52 | Facility | 52 · Reduced service | $281.84 | $478.63 | $1,071.52 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $190.55 Typical High $426.58 | Facility | 53 · Discontinued | $112.20 | $190.55 | $426.58 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $457.09 Median $645.65 Typical High $2,454.71 | Facility | FX · Film X-ray | $457.09 | $645.65 | $2,454.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $331.13 Typical High $426.58 | Professional | 52 · Reduced service | $218.78 | $331.13 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $131.83 Typical High $169.82 | Professional | 53 · Discontinued | $89.13 | $131.83 | $169.82 |
Where Texas sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 36th of 51
$646
WY $3,467HI $282
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.