How much rates vary
Facilitymedian $123 · 10th to 90th $62 to $339Professionalmedian $30 · 10th to 90th $6 to $219
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 $21.88 Median $31.62 Typical High $112.20 | Facility | None | $21.88 | $31.62 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $31.62 Typical High $199.53 | Facility | TC · Technical part | $18.20 | $31.62 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $46.77 | Professional | None (both parts) | $21.88 | $28.18 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $12.88 | Professional | 26 · Professional part | $6.03 | $7.94 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $15.85 | $19.95 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $38.02 | Professional | None (both parts) | $25.12 | $25.12 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $15.49 | Professional | 26 · Professional part | $6.46 | $6.46 | $15.49 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $354.81 | Facility | None | $79.43 | $213.80 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $8.32 Median $25.12 Typical High $38.90 | Professional | None (both parts) | $8.32 | $25.12 | $38.90 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $100.00 Typical High $380.19 | Facility | None | $44.67 | $100.00 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $19.05 | $28.84 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.32 Typical High $16.60 | Professional | 26 · Professional part | $5.37 | $8.32 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $13.49 | $20.89 | $37.15 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $30.90 | $42.66 | $42.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $218.78 | $218.78 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $75.86 | $75.86 | $77.62 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | TC · Technical part | $199.53 | $199.53 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $27.54 Median $199.53 Typical High $316.23 | Facility | None | $27.54 | $199.53 | $316.23 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $31.62 Typical High $158.49 | Facility | TC · Technical part | $19.05 | $31.62 | $158.49 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $47.86 | Professional | None (both parts) | $21.88 | $28.18 | $47.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $13.80 | Professional | 26 · Professional part | $6.03 | $7.94 | $13.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $34.67 | Professional | TC · Technical part | $15.85 | $19.95 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $85.11 Typical High $380.19 | Facility | None | $28.18 | $85.11 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $19.05 | $28.84 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $5.37 | $8.32 | $15.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $13.49 | $20.89 | $33.88 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $25.12 | $31.62 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $9.77 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $16.98 | $21.38 | $32.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
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 $10.96 Median $17.38 Typical High $100.00 | Facility | 52 · Reduced service | $10.96 | $17.38 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $6.92 Typical High $40.74 | Facility | 53 · Discontinued | $4.37 | $6.92 | $40.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $17.78 Median $25.70 Typical High $93.33 | Facility | FX · Film X-ray | $17.78 | $25.70 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.80 Typical High $17.38 | Professional | 52 · Reduced service | $10.96 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.50 Typical High $6.92 | Professional | 53 · Discontinued | $4.37 | $5.50 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $22.39 Typical High $26.30 | Professional | FX · Film X-ray | $17.78 | $22.39 | $26.30 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $15.85 Typical High $48.98 | Facility | 52 · Reduced service | $10.96 | $15.85 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $6.46 Typical High $19.95 | Facility | 53 · Discontinued | $4.37 | $6.46 | $19.95 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $16.22 Median $25.70 Typical High $97.72 | Facility | FX · Film X-ray | $16.22 | $25.70 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $10.96 | $13.80 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $4.37 | $5.50 | $6.76 |
Where Texas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 49th of 51
$31.62
AK $95.50FL $26.92
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.