How much rates vary
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 $295.12 Median $891.25 Typical High $1,819.70 | Facility | None | $295.12 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $2,290.87 | Facility | TC · Technical part | $208.93 | $354.81 | $2,290.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $295.12 Typical High $501.19 | Professional | None (both parts) | $186.21 | $295.12 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $190.55 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $229.09 | $323.59 |
BCBS Texas Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Facility | None | $645.65 | $645.65 | $776.25 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $131.83 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $131.83 | $288.40 | $616.60 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 26 · Professional part | $147.91 | $147.91 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $3,467.37 Typical High $5,370.32 | Facility | None | $562.34 | $3,467.37 | $5,370.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,202.26 Typical High $2,238.72 | Professional | None (both parts) | $831.76 | $1,202.26 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $269.15 | Professional | 26 · Professional part | $91.20 | $138.04 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,071.52 Typical High $2,041.74 | Professional | TC · Technical part | $741.31 | $1,071.52 | $2,041.74 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $776.25 | Professional | None (both parts) | $501.19 | $676.08 | $776.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | 26 · Professional part | $1,000.00 | $1,000.00 | $1,318.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | TC · Technical part | $9,120.11 | $9,120.11 | $9,120.11 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $954.99 Typical High $1,584.89 | Facility | None | $186.21 | $954.99 | $1,584.89 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $794.33 | Facility | TC · Technical part | $208.93 | $354.81 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $186.21 | $295.12 | $512.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $199.53 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $199.53 | $269.15 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $229.09 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $131.83 | $138.04 | $151.36 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $162.18 | $363.08 | $851.14 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $954.99 Typical High $4,677.35 | Facility | None | $162.18 | $954.99 | $4,677.35 |
Providence Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,202.26 Typical High $1,995.26 | Professional | None (both parts) | $831.76 | $1,202.26 | $1,995.26 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $251.19 | Professional | 26 · Professional part | $91.20 | $138.04 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,071.52 Typical High $1,862.09 | Professional | TC · Technical part | $741.31 | $1,071.52 | $1,862.09 |
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 $281.84 Median $371.54 Typical High $2,290.87 | Professional | None (both parts) | $281.84 | $371.54 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $281.84 | Professional | 26 · Professional part | $125.89 | $165.96 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $2,041.74 | Professional | TC · Technical part | $151.36 | $208.93 | $2,041.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
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 $109.65 Median $199.53 Typical High $1,148.15 | Facility | 52 · Reduced service | $109.65 | $199.53 | $1,148.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $44.67 Median $79.43 Typical High $457.09 | Facility | 53 · Discontinued | $44.67 | $79.43 | $457.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $177.83 Median $275.42 Typical High $870.96 | Facility | FX · Film X-ray | $177.83 | $275.42 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $147.91 Typical High $204.17 | Professional | 52 · Reduced service | $93.33 | $147.91 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $58.88 Typical High $81.28 | Professional | 53 · Discontinued | $37.15 | $58.88 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $234.42 Typical High $323.59 | Professional | FX · Film X-ray | $147.91 | $234.42 | $323.59 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $104.71 Median $177.83 Typical High $398.11 | Facility | 52 · Reduced service | $104.71 | $177.83 | $398.11 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $70.79 Typical High $158.49 | Facility | 53 · Discontinued | $41.69 | $70.79 | $158.49 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $165.96 Median $234.42 Typical High $912.01 | Facility | FX · Film X-ray | $165.96 | $234.42 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $147.91 Typical High $204.17 | Professional | 52 · Reduced service | $93.33 | $147.91 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $58.88 Typical High $81.28 | Professional | 53 · Discontinued | $37.15 | $58.88 | $81.28 |
Where Texas sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 47th of 51
$324
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.