How much rates vary
Facilitymedian $741 · 10th to 90th $123 to $2,512Professionalmedian $135 · 10th to 90th $22 to $490
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 $186.21 Median $691.83 Typical High $1,698.24 | Facility | None | $186.21 | $691.83 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $120.23 | Facility | 26 · Professional part | $57.54 | $87.10 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $1,023.29 | Facility | TC · Technical part | $120.23 | $218.78 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $165.96 | $263.03 | $501.19 |
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 $128.82 Median $154.88 Typical High $190.55 | Professional | None (both parts) | $128.82 | $154.88 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $57.54 | $114.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $537.03 | Professional | TC · Technical part | $69.18 | $117.49 | $537.03 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $870.96 Typical High $1,737.80 | Facility | None | $257.04 | $870.96 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $54.95 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $54.95 | $151.36 | $288.40 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $181.97 | $190.55 | $316.23 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $67.61 | $69.18 | $69.18 |
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 $575.44 | Professional | None (both parts) | $109.65 | $186.21 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $39.81 | $66.07 | $128.82 |
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 $218.78 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $218.78 | $478.63 | $1,288.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
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 $229.09 Median $1,548.82 Typical High $2,884.03 | Facility | None | $229.09 | $1,548.82 | $2,884.03 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $120.23 | Facility | 26 · Professional part | $57.54 | $85.11 | $120.23 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $134.90 Median $645.65 Typical High $2,818.38 | Facility | TC · Technical part | $134.90 | $645.65 | $2,818.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $575.44 | Professional | None (both parts) | $165.96 | $263.03 | $575.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $57.54 | $91.20 | $154.88 |
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 $630.96 | Facility | None | $190.55 | $630.96 | $630.96 |
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 $912.01 | Facility | None | $190.55 | $501.19 | $912.01 |
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 $120.23 | Professional | 26 · Professional part | $39.81 | $66.07 | $120.23 |
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 $234.42 Typical High $549.54 | Professional | None (both parts) | $173.78 | $234.42 | $549.54 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
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 |
12 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 $74.13 | Professional | 53 · Discontinued | $33.11 | $52.48 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $208.93 Typical High $295.12 | Professional | FX · Film X-ray | $134.90 | $208.93 | $295.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | 59 · Distinct service | $147.91 | $147.91 | $154.88 |
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 $33.11 Median $52.48 Typical High $117.49 | Facility | 53 · Discontinued | $33.11 | $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 $72.44 | Professional | 53 · Discontinued | $33.11 | $52.48 | $72.44 |
Where Texas sits
The same service costs 24.0 times more in Vermont 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
$141
VT $2,951UT $123
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.