How much rates vary
Facilitymedian $178 · 10th to 90th $100 to $501Professionalmedian $35 · 10th to 90th $6 to $288
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 $28.84 Median $37.15 Typical High $58.88 | Facility | None | $28.84 | $37.15 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $42.66 Typical High $269.15 | Facility | TC · Technical part | $26.92 | $42.66 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $28.84 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $9.77 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $26.92 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $35.48 | Professional | None (both parts) | $29.51 | $33.88 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.55 Typical High $11.22 | Professional | 26 · Professional part | $8.91 | $9.55 | $11.22 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $323.59 Typical High $616.60 | Facility | None | $123.03 | $323.59 | $616.60 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.23 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $10.23 | $33.88 | $50.12 |
Christus Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $13.49 | Professional | 26 · Professional part | $11.22 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $138.04 Typical High $467.74 | Facility | None | $54.95 | $138.04 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $25.70 | $38.90 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.23 Typical High $19.05 | Professional | 26 · Professional part | $6.76 | $10.23 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $18.62 | $28.18 | $53.70 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $42.66 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $42.66 | $57.54 | $57.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $288.40 | $288.40 | $380.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $269.15 | $269.15 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $436.52 | Facility | None | $37.15 | $104.71 | $436.52 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $51.29 Typical High $309.03 | Facility | TC · Technical part | $27.54 | $51.29 | $309.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $28.84 | $36.31 | $61.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $7.59 | $9.77 | $16.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $26.92 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Oscar Health Setting Facility Modifier None Typical Low $112.20 Median $380.19 Typical High $380.19 | Facility | None | $112.20 | $380.19 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $36.31 Typical High $79.43 | Professional | None (both parts) | $11.75 | $36.31 | $79.43 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $117.49 Typical High $467.74 | Facility | None | $41.69 | $117.49 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $74.13 | Professional | None (both parts) | $25.70 | $38.90 | $74.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $6.76 | $10.00 | $16.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $18.62 | $28.18 | $46.77 |
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 $33.11 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $33.11 | $42.66 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $17.38 | Professional | 26 · Professional part | $9.12 | $11.22 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.90 Typical High $46.77 | Professional | TC · Technical part | $23.99 | $30.90 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $11.48 | $11.48 | $11.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
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 $14.45 Median $23.44 Typical High $134.90 | Facility | 52 · Reduced service | $14.45 | $23.44 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $9.33 Typical High $53.70 | Facility | 53 · Discontinued | $5.75 | $9.33 | $53.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $23.99 Median $34.67 Typical High $125.89 | Facility | FX · Film X-ray | $23.99 | $34.67 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $18.20 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $9.33 | Professional | 53 · Discontinued | $5.75 | $7.24 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $29.51 Typical High $34.67 | Professional | FX · Film X-ray | $23.44 | $29.51 | $34.67 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $14.45 Median $21.38 Typical High $66.07 | Facility | 52 · Reduced service | $14.45 | $21.38 | $66.07 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $8.51 Typical High $26.30 | Facility | 53 · Discontinued | $5.75 | $8.51 | $26.30 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $34.67 Typical High $131.83 | Facility | FX · Film X-ray | $21.88 | $34.67 | $131.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $18.20 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $18.20 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $9.12 | Professional | 53 · Discontinued | $5.75 | $7.24 | $9.12 |
Where Texas sits
The same service costs 3.9 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
$36.31
AK $129UT $33.11
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.