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 $208.93 Median $812.83 Typical High $1,778.28 | Facility | None | $208.93 | $812.83 | $1,778.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $120.23 | Facility | 26 · Professional part | $57.54 | $91.20 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $1,445.44 | Facility | TC · Technical part | $134.90 | $234.42 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $165.96 | $263.03 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $338.84 | Professional | TC · Technical part | $109.65 | $169.82 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $64.57 | $151.36 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $57.54 | $131.83 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $891.25 Typical High $1,737.80 | Facility | None | $257.04 | $891.25 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $56.23 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $56.23 | $151.36 | $251.19 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $181.97 | $190.55 | $295.12 |
Christus Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $67.61 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $1,023.29 | Facility | None | $323.59 | $467.74 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $588.84 | Professional | None (both parts) | $109.65 | $186.21 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $66.07 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $436.52 | Professional | TC · Technical part | $70.79 | $120.23 | $436.52 |
Health Smart Setting Facility Modifier None Typical Low $269.15 Median $524.81 Typical High $851.14 | Facility | None | $269.15 | $524.81 | $851.14 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $467.74 | $524.81 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,235.94 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $1,548.82 Typical High $2,754.23 | Facility | None | $354.81 | $1,548.82 | $2,754.23 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $467.74 Typical High $3,981.07 | Facility | TC · Technical part | $154.88 | $467.74 | $3,981.07 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $165.96 | $263.03 | $549.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $91.20 | $158.49 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $169.82 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $14.45 | $70.79 | $165.96 |
Oscar Health Setting Facility Modifier None Typical Low $190.55 Median $630.96 Typical High $724.44 | Facility | None | $190.55 | $630.96 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $72.44 | $154.88 | $346.74 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $501.19 Typical High $933.25 | Facility | None | $190.55 | $501.19 | $933.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $537.03 | Professional | None (both parts) | $109.65 | $186.21 | $537.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $39.81 | $66.07 | $123.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $371.54 | Professional | TC · Technical part | $70.79 | $120.23 | $371.54 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $562.34 | Professional | None (both parts) | $173.78 | $229.09 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $416.87 | Professional | TC · Technical part | $114.82 | $151.36 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
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 $83.18 Median $147.91 Typical High $831.76 | Facility | 52 · Reduced service | $83.18 | $147.91 | $831.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.11 Median $58.88 Typical High $338.84 | Facility | 53 · Discontinued | $33.11 | $58.88 | $338.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $131.83 Median $208.93 Typical High $645.65 | Facility | FX · Film X-ray | $131.83 | $208.93 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $131.83 Typical High $186.21 | Professional | 52 · Reduced service | $83.18 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $52.48 Typical High $75.86 | Professional | 53 · Discontinued | $33.11 | $52.48 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $208.93 Typical High $295.12 | Professional | FX · Film X-ray | $131.83 | $208.93 | $295.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $83.18 Median $131.83 Typical High $338.84 | Facility | 52 · Reduced service | $83.18 | $131.83 | $338.84 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $52.48 Typical High $117.49 | Facility | 53 · Discontinued | $32.36 | $52.48 | $117.49 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $123.03 Median $173.78 Typical High $676.08 | Facility | FX · Film X-ray | $123.03 | $173.78 | $676.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $131.83 Typical High $177.83 | Professional | 52 · Reduced service | $83.18 | $131.83 | $177.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $52.48 Typical High $70.79 | Professional | 53 · Discontinued | $33.11 | $52.48 | $70.79 |
Where Texas sits
The same service costs 6.5 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· 50th of 51
$138
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.