How much rates vary
Facilitymedian $219 · 10th to 90th $102 to $513Professionalmedian $48 · 10th to 90th $10 to $141
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 $40.74 Median $50.12 Typical High $52.48 | Facility | None | $40.74 | $50.12 | $52.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $61.66 Typical High $295.12 | Facility | TC · Technical part | $37.15 | $61.66 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $85.11 | Professional | None (both parts) | $40.74 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $12.02 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $66.07 | Professional | TC · Technical part | $30.90 | $39.81 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $63.10 | Professional | None (both parts) | $39.81 | $50.12 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $17.38 | Professional | 26 · Professional part | $9.77 | $11.22 | $17.38 |
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 $11.48 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $11.48 | $47.86 | $63.10 |
Christus Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.13 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $467.74 | Facility | None | $93.33 | $194.98 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $53.70 Typical High $107.15 | Professional | None (both parts) | $34.67 | $53.70 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $28.18 | Professional | 26 · Professional part | $8.51 | $12.59 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $40.74 | $75.86 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $72.44 | $79.43 | $79.43 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $398.11 | $398.11 | $537.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $309.03 | $309.03 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $363.08 Typical High $549.54 | Facility | None | $57.54 | $363.08 | $549.54 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $102.33 Typical High $794.33 | Facility | TC · Technical part | $38.02 | $102.33 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $40.74 | $52.48 | $100.00 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $9.33 | $12.02 | $21.38 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $67.61 | Professional | TC · Technical part | $30.90 | $39.81 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $31.62 Typical High $67.61 | Professional | None (both parts) | $5.37 | $31.62 | $67.61 |
Oscar Health Setting Facility Modifier None Typical Low $123.03 Median $380.19 Typical High $380.19 | Facility | None | $123.03 | $380.19 | $380.19 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $15.49 | $52.48 | $112.20 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $169.82 Typical High $467.74 | Facility | None | $57.54 | $169.82 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $34.67 Median $52.48 Typical High $107.15 | Professional | None (both parts) | $34.67 | $52.48 | $107.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $24.55 | Professional | 26 · Professional part | $8.51 | $12.59 | $24.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $26.30 | $40.74 | $69.18 |
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 $47.86 Median $60.26 Typical High $93.33 | Professional | None (both parts) | $47.86 | $60.26 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $15.85 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $35.48 | $44.67 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
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 $20.42 Median $33.88 Typical High $194.98 | Facility | 52 · Reduced service | $20.42 | $33.88 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $13.49 Typical High $79.43 | Facility | 53 · Discontinued | $8.13 | $13.49 | $79.43 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $34.67 Median $50.12 Typical High $181.97 | Facility | FX · Film X-ray | $34.67 | $50.12 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $31.62 | Professional | 52 · Reduced service | $20.42 | $25.70 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $12.59 | Professional | 53 · Discontinued | $8.13 | $10.23 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $41.69 Typical High $50.12 | Professional | FX · Film X-ray | $32.36 | $41.69 | $50.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $20.42 Median $30.90 Typical High $95.50 | Facility | 52 · Reduced service | $20.42 | $30.90 | $95.50 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $12.59 Typical High $38.90 | Facility | 53 · Discontinued | $8.13 | $12.59 | $38.90 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $31.62 Median $50.12 Typical High $190.55 | Facility | FX · Film X-ray | $31.62 | $50.12 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $31.62 | Professional | 52 · Reduced service | $20.42 | $25.70 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $12.59 | Professional | 53 · Discontinued | $8.13 | $10.23 | $12.59 |
Where Texas sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 51st of 51
$50.12
AK $182TX $50.12
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.