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 $478.63 Median $891.25 Typical High $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $562.34 Typical High $3,630.78 | Facility | TC · Technical part | $331.13 | $562.34 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $302.00 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $112.20 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $346.74 | $501.19 |
BCBS Texas Setting Facility Modifier None Typical Low $478.63 Median $1,230.27 Typical High $2,344.23 | Facility | None | $478.63 | $1,230.27 | $2,344.23 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $281.84 Typical High $630.96 | Professional | None (both parts) | $70.79 | $281.84 | $630.96 |
Christus Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
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 $537.03 Median $891.25 Typical High $1,230.27 | Facility | None | $537.03 | $891.25 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $194.98 | $338.84 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $79.43 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $257.04 Typical High $616.60 | Professional | TC · Technical part | $147.91 | $257.04 | $616.60 |
Health Smart Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $575.44 Median $645.65 Typical High $691.83 | Professional | None (both parts) | $575.44 | $645.65 | $691.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,311.31 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | 26 · Professional part | $645.65 | $645.65 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $2,818.38 | $2,951.21 | $2,951.21 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $707.95 Typical High $1,380.38 | Facility | None | $363.08 | $707.95 | $1,380.38 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $562.34 Typical High $1,258.93 | Facility | TC · Technical part | $331.13 | $562.34 | $1,258.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $302.00 | $478.63 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $112.20 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $234.42 | $363.08 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $331.13 | Professional | None (both parts) | $20.89 | $107.15 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $281.84 Typical High $616.60 | Professional | None (both parts) | $87.10 | $281.84 | $616.60 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $660.69 Typical High $1,096.48 | Facility | None | $331.13 | $660.69 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $194.98 | $338.84 | $758.58 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $79.43 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $257.04 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $257.04 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $316.23 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $93.33 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $575.44 | Professional | TC · Technical part | $245.47 | $323.59 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $173.78 Median $281.84 Typical High $1,778.28 | Facility | 52 · Reduced service | $173.78 | $281.84 | $1,778.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $70.79 Median $112.20 Typical High $724.44 | Facility | 53 · Discontinued | $70.79 | $112.20 | $724.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $281.84 Median $380.19 Typical High $1,380.38 | Facility | FX · Film X-ray | $281.84 | $380.19 | $1,380.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $234.42 Typical High $316.23 | Professional | 52 · Reduced service | $151.36 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $93.33 Typical High $128.82 | Professional | 53 · Discontinued | $60.26 | $93.33 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $380.19 Typical High $524.81 | Professional | FX · Film X-ray | $245.47 | $380.19 | $524.81 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $165.96 Median $281.84 Typical High $630.96 | Facility | 52 · Reduced service | $165.96 | $281.84 | $630.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $112.20 Typical High $251.19 | Facility | 53 · Discontinued | $66.07 | $112.20 | $251.19 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $371.54 Typical High $1,445.44 | Facility | FX · Film X-ray | $263.03 | $371.54 | $1,445.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $151.36 | $234.42 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $93.33 Typical High $120.23 | Professional | 53 · Discontinued | $60.26 | $93.33 | $120.23 |
Where Texas sits
The same service costs 5.4 times more in Wyoming 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
$257
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.