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 $380.19 Median $891.25 Typical High $1,819.70 | Facility | None | $380.19 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $2,630.27 | Facility | TC · Technical part | $245.47 | $416.87 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $239.88 | $380.19 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $109.65 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $269.15 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $81.28 | $134.90 |
BCBS Texas Setting Facility Modifier None Typical Low $616.60 Median $1,548.82 Typical High $2,884.03 | Facility | None | $616.60 | $1,548.82 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $70.79 | $229.09 | $512.86 |
Christus Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | 26 · Professional part | $79.43 | $79.43 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $691.83 Typical High $1,659.59 | Facility | None | $467.74 | $691.83 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $724.44 | Professional | None (both parts) | $158.49 | $269.15 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $48.98 | $79.43 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $109.65 | $186.21 | $562.34 |
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 $3,548.13 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,548.13 | $3,630.78 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | 26 · Professional part | $660.69 | $660.69 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $758.58 Typical High $1,778.28 | Facility | None | $302.00 | $758.58 | $1,778.28 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $1,258.93 | Facility | TC · Technical part | $245.47 | $416.87 | $1,258.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $239.88 | $380.19 | $645.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $109.65 | $151.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $173.78 | $269.15 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $263.03 | Professional | None (both parts) | $20.89 | $107.15 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $87.10 | $213.80 | $501.19 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $660.69 Typical High $1,023.29 | Facility | None | $275.42 | $660.69 | $1,023.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $707.95 | Professional | None (both parts) | $158.49 | $269.15 | $707.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $48.98 | $79.43 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $501.19 | Professional | TC · Technical part | $109.65 | $186.21 | $501.19 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $251.19 | $331.13 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $239.88 | $537.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
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 $128.82 Median $208.93 Typical High $1,318.26 | Facility | 52 · Reduced service | $128.82 | $208.93 | $1,318.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $83.18 Typical High $524.81 | Facility | 53 · Discontinued | $51.29 | $83.18 | $524.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $208.93 Median $323.59 Typical High $1,023.29 | Facility | FX · Film X-ray | $208.93 | $323.59 | $1,023.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $190.55 Typical High $263.03 | Professional | 52 · Reduced service | $120.23 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $75.86 Typical High $104.71 | Professional | 53 · Discontinued | $47.86 | $75.86 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $302.00 Typical High $416.87 | Professional | FX · Film X-ray | $194.98 | $302.00 | $416.87 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $123.03 Median $208.93 Typical High $467.74 | Facility | 52 · Reduced service | $123.03 | $208.93 | $467.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $83.18 Typical High $186.21 | Facility | 53 · Discontinued | $48.98 | $83.18 | $186.21 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $194.98 Median $275.42 Typical High $1,071.52 | Facility | FX · Film X-ray | $194.98 | $275.42 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $190.55 Typical High $263.03 | Professional | 52 · Reduced service | $120.23 | $190.55 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $75.86 Typical High $104.71 | Professional | 53 · Discontinued | $47.86 | $75.86 | $104.71 |
Where Texas sits
The same service costs 5.9 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
$200
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.