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 $33.88 Median $42.66 Typical High $70.79 | Facility | None | $33.88 | $42.66 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $17.38 | Facility | 26 · Professional part | $8.51 | $10.72 | $17.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $245.47 | Facility | TC · Technical part | $29.51 | $50.12 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $74.13 | Professional | None (both parts) | $34.67 | $44.67 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $8.51 | $10.96 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $33.11 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $35.48 | $44.67 | $58.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $26.30 | Professional | 26 · Professional part | $8.91 | $12.88 | $26.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $50.12 | Professional | TC · Technical part | $31.62 | $33.88 | $50.12 |
BCBS Texas Setting Facility Modifier None Typical Low $117.49 Median $302.00 Typical High $616.60 | Facility | None | $117.49 | $302.00 | $616.60 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.23 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $10.23 | $41.69 | $54.95 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | None (both parts) | $44.67 | $44.67 | $46.77 |
Christus Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $169.82 Typical High $467.74 | Facility | None | $74.13 | $169.82 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $30.90 | $46.77 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $24.55 | Professional | 26 · Professional part | $7.41 | $11.22 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $34.67 | $58.88 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $60.26 | $67.61 | $109.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $346.74 | $346.74 | $478.63 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $257.04 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $389.05 Typical High $645.65 | Facility | None | $51.29 | $389.05 | $645.65 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $17.38 | Facility | 26 · Professional part | $8.51 | $10.72 | $17.38 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $263.03 Typical High $741.31 | Facility | TC · Technical part | $32.36 | $263.03 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $34.67 | $44.67 | $83.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $8.51 | $10.96 | $20.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $33.11 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.84 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.84 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $64.57 Median $190.55 Typical High $190.55 | Facility | None | $64.57 | $190.55 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $14.13 Median $46.77 Typical High $100.00 | Professional | None (both parts) | $14.13 | $46.77 | $100.00 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $147.91 Typical High $467.74 | Facility | None | $44.67 | $147.91 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $30.90 | $46.77 | $85.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $21.88 | Professional | 26 · Professional part | $7.41 | $11.22 | $21.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $33.88 | $54.95 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $38.90 | $50.12 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $11.22 | $14.45 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $35.48 | $51.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
12 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 $17.38 Median $28.18 Typical High $165.96 | Facility | 52 · Reduced service | $17.38 | $28.18 | $165.96 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $11.48 Typical High $66.07 | Facility | 53 · Discontinued | $6.92 | $11.48 | $66.07 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $41.69 Typical High $154.88 | Facility | FX · Film X-ray | $29.51 | $41.69 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $21.88 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.71 Typical High $11.22 | Professional | 53 · Discontinued | $6.92 | $8.71 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $35.48 Typical High $41.69 | Professional | FX · Film X-ray | $27.54 | $35.48 | $41.69 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $37.15 Median $41.69 Typical High $56.23 | Professional | 59 · Distinct service | $37.15 | $41.69 | $56.23 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $17.38 Median $26.30 Typical High $81.28 | Facility | 52 · Reduced service | $17.38 | $26.30 | $81.28 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.92 Median $10.47 Typical High $32.36 | Facility | 53 · Discontinued | $6.92 | $10.47 | $32.36 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $26.92 Median $41.69 Typical High $162.18 | Facility | FX · Film X-ray | $26.92 | $41.69 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $21.88 Typical High $26.92 | Professional | 52 · Reduced service | $17.38 | $21.88 | $26.92 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.71 Typical High $10.72 | Professional | 53 · Discontinued | $6.92 | $8.71 | $10.72 |
Where Texas sits
The same service costs 4.8 times more in Alaska 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· 49th of 51
$42.66
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.