How much rates vary
Facilitymedian $708 · 10th to 90th $245 to $2,455Professionalmedian $132 · 10th to 90th $23 to $447
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 $147.91 Median $398.11 Typical High $1,202.26 | Facility | None | $147.91 | $398.11 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $74.13 | Facility | 26 · Professional part | $45.71 | $54.95 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $776.25 | Facility | TC · Technical part | $100.00 | $147.91 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $144.54 | $181.97 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $45.71 | $56.23 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $123.03 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $56.23 | $112.20 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $47.86 | $102.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $74.13 | $112.20 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,412.54 | Facility | None | $245.47 | $691.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $44.67 | $131.83 | $218.78 |
Baylor Scott & White Setting Facility Modifier None Typical Low $173.78 Median $1,000.00 Typical High $4,265.80 | Facility | None | $173.78 | $1,000.00 | $4,265.80 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $158.49 | $165.96 | $239.88 |
Christus Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $53.70 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $407.38 Typical High $870.96 | Facility | None | $275.42 | $407.38 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $416.87 | Professional | None (both parts) | $95.50 | $162.18 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $51.29 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $302.00 | Professional | TC · Technical part | $64.57 | $112.20 | $302.00 |
Health Smart Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $602.56 | Facility | None | $234.42 | $389.05 | $602.56 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $181.97 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $181.97 | $371.54 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $1,584.89 Typical High $3,162.28 | Facility | None | $323.59 | $1,584.89 | $3,162.28 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $74.13 | Facility | 26 · Professional part | $45.71 | $54.95 | $74.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $380.19 Typical High $1,380.38 | Facility | TC · Technical part | $104.71 | $380.19 | $1,380.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $144.54 | $181.97 | $371.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $56.23 | $104.71 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $123.03 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $15.49 | $87.10 | $165.96 |
Oscar Health Setting Facility Modifier None Typical Low $851.14 Median $2,238.72 Typical High $2,238.72 | Facility | None | $851.14 | $2,238.72 | $2,238.72 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $125.89 Typical High $302.00 | Professional | None (both parts) | $57.54 | $125.89 | $302.00 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $354.81 Typical High $602.56 | Facility | None | $158.49 | $354.81 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $95.50 | $162.18 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $51.29 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $64.57 | $109.65 | $257.04 |
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 $158.49 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $158.49 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $63.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $162.18 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
15 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 $67.61 Median $109.65 Typical High $602.56 | Facility | 52 · Reduced service | $67.61 | $109.65 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $43.65 Typical High $245.47 | Facility | 53 · Discontinued | $26.92 | $43.65 | $245.47 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $107.15 Median $169.82 Typical High $630.96 | Facility | CT · Older CT scanner | $107.15 | $169.82 | $630.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $162.18 Typical High $588.84 | Facility | FX · Film X-ray | $100.00 | $162.18 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $89.13 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $35.48 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $35.48 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $154.88 Typical High $194.98 | Professional | CT · Older CT scanner | $123.03 | $154.88 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $144.54 Typical High $186.21 | Professional | FX · Film X-ray | $117.49 | $144.54 | $186.21 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $63.10 Median $100.00 Typical High $234.42 | Facility | 52 · Reduced service | $63.10 | $100.00 | $234.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $39.81 Typical High $93.33 | Facility | 53 · Discontinued | $25.12 | $39.81 | $93.33 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $107.15 Median $169.82 Typical High $660.69 | Facility | CT · Older CT scanner | $107.15 | $169.82 | $660.69 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $162.18 Typical High $616.60 | Facility | FX · Film X-ray | $100.00 | $162.18 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $87.10 | $114.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $45.71 | Professional | 53 · Discontinued | $29.51 | $34.67 | $45.71 |
Where Texas sits
The same service costs 5.9 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
$138
VT $741UT $126
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.