How much rates vary
Facilitymedian $692 · 10th to 90th $389 to $1,738Professionalmedian $229 · 10th to 90th $38 to $631
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 $389.05 Median $891.25 Typical High $1,819.70 | Facility | None | $389.05 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $457.09 Typical High $2,951.21 | Facility | TC · Technical part | $269.15 | $457.09 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $245.47 | $389.05 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $89.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $295.12 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $223.87 | $295.12 | $295.12 |
BCBS Texas Setting Facility Modifier None Typical Low $380.19 Median $933.25 Typical High $1,737.80 | Facility | None | $380.19 | $933.25 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $53.70 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $53.70 | $245.47 | $354.81 |
Christus Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 26 · Professional part | $64.57 | $64.57 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $1,122.02 | Facility | None | $537.03 | $912.01 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $194.98 | $331.13 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $602.56 | Professional | TC · Technical part | $154.88 | $263.03 | $602.56 |
Health Smart Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $467.74 | $524.81 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $2,884.03 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,511.89 | $2,818.38 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $851.14 Typical High $2,570.40 | Facility | None | $338.84 | $851.14 | $2,570.40 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $457.09 Typical High $1,174.90 | Facility | TC · Technical part | $269.15 | $457.09 | $1,174.90 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $245.47 | $389.05 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $89.13 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $295.12 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $70.79 Typical High $295.12 | Professional | None (both parts) | $28.84 | $70.79 | $295.12 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $575.44 Typical High $1,096.48 | Facility | None | $295.12 | $575.44 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $691.83 | Professional | None (both parts) | $194.98 | $331.13 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $39.81 | $64.57 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $263.03 | $524.81 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $316.23 | $416.87 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $74.13 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $257.04 | $338.84 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
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 $141.25 Median $229.09 Typical High $1,479.11 | Facility | 52 · Reduced service | $141.25 | $229.09 | $1,479.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $588.84 | Facility | 53 · Discontinued | $57.54 | $91.20 | $588.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $229.09 Median $323.59 Typical High $1,122.02 | Facility | FX · Film X-ray | $229.09 | $323.59 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $194.98 Typical High $269.15 | Professional | 52 · Reduced service | $123.03 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $77.62 Typical High $107.15 | Professional | 53 · Discontinued | $48.98 | $77.62 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $309.03 Typical High $426.58 | Professional | FX · Film X-ray | $199.53 | $309.03 | $426.58 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $141.25 Median $229.09 Typical High $691.83 | Facility | 52 · Reduced service | $141.25 | $229.09 | $691.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $91.20 Typical High $204.17 | Facility | 53 · Discontinued | $53.70 | $91.20 | $204.17 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $302.00 Typical High $1,174.90 | Facility | FX · Film X-ray | $213.80 | $302.00 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $194.98 Typical High $269.15 | Professional | 52 · Reduced service | $123.03 | $194.98 | $269.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $77.62 Typical High $107.15 | Professional | 53 · Discontinued | $48.98 | $77.62 | $107.15 |
Where Texas sits
The same service costs 6.3 times more in Wyoming 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
$234
WY $1,349UT $214
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.