How much rates vary
Facilitymedian $263 · 10th to 90th $71 to $575Professionalmedian $33 · 10th to 90th $8 to $257
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 $25.70 Median $31.62 Typical High $50.12 | Facility | None | $25.70 | $31.62 | $50.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $13.49 | Facility | 26 · Professional part | $6.92 | $8.71 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $144.54 | Facility | TC · Technical part | $19.95 | $26.92 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $25.70 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $14.79 | Professional | 26 · Professional part | $6.92 | $8.91 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $40.74 | Professional | TC · Technical part | $19.05 | $23.99 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $26.30 | $33.11 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.91 Typical High $20.42 | Professional | 26 · Professional part | $6.31 | $8.91 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $23.99 | $35.48 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $512.86 | Facility | None | $114.82 | $288.40 | $512.86 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $8.32 Median $30.20 Typical High $40.74 | Professional | None (both parts) | $8.32 | $30.20 | $40.74 |
Baylor Scott & White Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $660.69 | Facility | None | $38.90 | $61.66 | $660.69 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $38.90 | $39.81 | $54.95 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $10.23 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $120.23 Typical High $467.74 | Facility | None | $54.95 | $120.23 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $22.39 | $34.67 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.33 Typical High $19.05 | Professional | 26 · Professional part | $6.17 | $9.33 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $25.12 | $42.66 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $91.20 | Professional | None (both parts) | $42.66 | $51.29 | $91.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $257.04 | $257.04 | $346.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $85.11 | $134.90 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $208.93 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $407.38 Typical High $707.95 | Facility | None | $50.12 | $407.38 | $707.95 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $14.79 | Facility | 26 · Professional part | $6.92 | $8.71 | $14.79 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $263.03 Typical High $457.09 | Facility | TC · Technical part | $23.44 | $263.03 | $457.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $25.70 | $33.11 | $64.57 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $18.62 | Professional | 26 · Professional part | $6.92 | $8.91 | $18.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $23.99 | $42.66 |
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 $89.13 Median $380.19 Typical High $380.19 | Facility | None | $89.13 | $380.19 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.22 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $11.22 | $33.11 | $74.13 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $109.65 Typical High $467.74 | Facility | None | $33.11 | $109.65 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $22.39 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $22.39 | $34.67 | $63.10 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $6.17 | $9.33 | $17.38 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $25.12 | $39.81 |
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 $28.84 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $28.84 | $36.31 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $8.71 | $10.96 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $25.70 | $38.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $29.51 | $29.51 | $29.51 |
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 $12.88 Median $20.42 Typical High $120.23 | Facility | 52 · Reduced service | $12.88 | $20.42 | $120.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $8.32 Typical High $47.86 | Facility | 53 · Discontinued | $5.25 | $8.32 | $47.86 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.38 Median $30.20 Typical High $112.20 | Facility | FX · Film X-ray | $21.38 | $30.20 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.22 Typical High $20.42 | Professional | 52 · Reduced service | $12.88 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $8.13 | Professional | 53 · Discontinued | $5.25 | $6.61 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $26.30 Typical High $30.90 | Professional | FX · Film X-ray | $20.89 | $26.30 | $30.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $22.91 Median $26.92 Typical High $30.90 | Professional | 59 · Distinct service | $22.91 | $26.92 | $30.90 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | Q6 · Substitute physician, paid per time | $26.92 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | XS · Separate structure | $26.92 | $26.92 | $32.36 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.88 Median $19.05 Typical High $58.88 | Facility | 52 · Reduced service | $12.88 | $19.05 | $58.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $7.59 Typical High $23.44 | Facility | 53 · Discontinued | $5.25 | $7.59 | $23.44 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $19.50 Median $30.20 Typical High $117.49 | Facility | FX · Film X-ray | $19.50 | $30.20 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.22 Typical High $19.95 | Professional | 52 · Reduced service | $12.88 | $16.22 | $19.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $8.13 | Professional | 53 · Discontinued | $5.25 | $6.61 | $8.13 |
Where Texas sits
The same service costs 12.6 times more in Vermont than in Florida. 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
$33.11
VT $389FL $30.90
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.