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 $524.81 Median $891.25 Typical High $1,819.70 | Facility | None | $524.81 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $630.96 Typical High $4,073.80 | Facility | TC · Technical part | $371.54 | $630.96 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $331.13 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $380.19 | $575.44 |
BCBS Texas Setting Facility Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $4,786.30 | Facility | None | $1,000.00 | $2,630.27 | $4,786.30 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $107.15 Median $316.23 Typical High $776.25 | Professional | None (both parts) | $107.15 | $316.23 | $776.25 |
Christus Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $75.86 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,737.80 | Facility | None | $645.65 | $1,000.00 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $831.76 | Professional | None (both parts) | $213.80 | $363.08 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $660.69 | Professional | TC · Technical part | $169.82 | $288.40 | $660.69 |
Health Smart Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $616.60 | Facility | None | $602.56 | $602.56 | $616.60 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,467.37 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $812.83 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,019.95 | $3,162.28 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $724.44 Typical High $1,122.02 | Facility | None | $398.11 | $724.44 | $1,122.02 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $630.96 Typical High $1,412.54 | Facility | TC · Technical part | $371.54 | $630.96 | $1,412.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $331.13 | $501.19 | $724.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $380.19 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $363.08 | Professional | None (both parts) | $20.89 | $107.15 | $363.08 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,230.27 | Facility | None | $371.54 | $724.44 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $213.80 | $363.08 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $75.86 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $169.82 | $288.40 | $575.44 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,230.27 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $891.25 | Professional | None (both parts) | $346.74 | $467.74 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $380.19 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
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 $199.53 Median $323.59 Typical High $2,041.74 | Facility | 52 · Reduced service | $199.53 | $323.59 | $2,041.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $128.82 Typical High $812.83 | Facility | 53 · Discontinued | $79.43 | $128.82 | $812.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $316.23 Median $426.58 Typical High $1,548.82 | Facility | FX · Film X-ray | $316.23 | $426.58 | $1,548.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $251.19 Typical High $354.81 | Professional | 52 · Reduced service | $165.96 | $251.19 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $100.00 Typical High $141.25 | Professional | 53 · Discontinued | $66.07 | $100.00 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $416.87 Typical High $575.44 | Professional | FX · Film X-ray | $263.03 | $416.87 | $575.44 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $186.21 Median $316.23 Typical High $707.95 | Facility | 52 · Reduced service | $186.21 | $316.23 | $707.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $128.82 Typical High $288.40 | Facility | 53 · Discontinued | $75.86 | $128.82 | $288.40 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $302.00 Median $426.58 Typical High $1,659.59 | Facility | FX · Film X-ray | $302.00 | $426.58 | $1,659.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $251.19 Typical High $346.74 | Professional | 52 · Reduced service | $165.96 | $251.19 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $100.00 Typical High $141.25 | Professional | 53 · Discontinued | $66.07 | $100.00 | $141.25 |
Where Texas sits
The same service costs 5.5 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
$288
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.