How much rates vary
Facilitymedian $708 · 10th to 90th $182 to $3,090Professionalmedian $166 · 10th to 90th $28 to $363
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 $223.87 Median $389.05 Typical High $1,174.90 | Facility | None | $223.87 | $389.05 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $114.82 | Facility | 26 · Professional part | $70.79 | $87.10 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $1,148.15 | Facility | TC · Technical part | $147.91 | $218.78 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $218.78 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $89.13 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $181.97 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $112.20 | $213.80 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $69.18 | $158.49 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,445.44 | Facility | None | $245.47 | $691.83 | $1,445.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $70.79 | $208.93 | $346.74 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $251.19 | $263.03 | $457.09 |
Christus Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $79.43 | $79.43 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $870.96 | Facility | None | $426.58 | $676.08 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $616.60 | Professional | None (both parts) | $162.18 | $275.42 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $79.43 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $114.82 | $190.55 | $478.63 |
Health Smart Setting Facility Modifier None Typical Low $398.11 Median $426.58 Typical High $602.56 | Facility | None | $398.11 | $426.58 | $602.56 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $309.03 | $389.05 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $691.83 | $1,000.00 | $1,000.00 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $2,754.23 | $2,754.23 | $2,754.23 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $1,584.89 Typical High $3,890.45 | Facility | None | $398.11 | $1,584.89 | $3,890.45 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $114.82 | Facility | 26 · Professional part | $70.79 | $87.10 | $114.82 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $338.84 Typical High $1,202.26 | Facility | TC · Technical part | $151.36 | $338.84 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $218.78 | $275.42 | $501.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $89.13 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $181.97 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $263.03 | Professional | None (both parts) | $20.89 | $107.15 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $89.13 | $218.78 | $512.86 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $588.84 Typical High $831.76 | Facility | None | $251.19 | $588.84 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $162.18 | $275.42 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $79.43 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $186.21 | $398.11 |
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 $239.88 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $239.88 | $323.59 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $223.87 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
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 |
14 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 $100.00 Median $162.18 Typical High $912.01 | Facility | 52 · Reduced service | $100.00 | $162.18 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $363.08 | Facility | 53 · Discontinued | $40.74 | $64.57 | $363.08 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $251.19 Typical High $933.25 | Facility | CT · Older CT scanner | $158.49 | $251.19 | $933.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $870.96 | Facility | FX · Film X-ray | $151.36 | $239.88 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $138.04 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $54.95 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $234.42 Typical High $295.12 | Professional | CT · Older CT scanner | $186.21 | $234.42 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $218.78 Typical High $281.84 | Professional | FX · Film X-ray | $177.83 | $218.78 | $281.84 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $147.91 Typical High $346.74 | Facility | 52 · Reduced service | $93.33 | $147.91 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $60.26 Typical High $141.25 | Facility | 53 · Discontinued | $37.15 | $60.26 | $141.25 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $251.19 Typical High $977.24 | Facility | CT · Older CT scanner | $158.49 | $251.19 | $977.24 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $933.25 | Facility | FX · Film X-ray | $151.36 | $239.88 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $131.83 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $52.48 | $69.18 |
Where Texas sits
The same service costs 12.3 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
$182
VT $2,089UT $170
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.