How much rates vary
Facilitymedian $178 · 10th to 90th $98 to $490Professionalmedian $34 · 10th to 90th $6 to $269
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 $25.70 Median $32.36 Typical High $64.57 | Facility | None | $25.70 | $32.36 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $39.81 Typical High $251.19 | Facility | TC · Technical part | $23.44 | $39.81 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $27.54 | $35.48 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $10.00 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $25.12 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.20 Typical High $36.31 | Professional | None (both parts) | $28.18 | $30.20 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $28.84 | Professional | 26 · Professional part | $9.77 | $12.02 | $28.84 |
BCBS Texas Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $537.03 | Facility | None | $114.82 | $295.12 | $537.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $10.23 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $10.23 | $33.11 | $48.98 |
Baylor Scott & White Setting Facility Modifier None Typical Low $67.61 Median $186.21 Typical High $407.38 | Facility | None | $67.61 | $186.21 | $407.38 |
Christus Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $125.89 Typical High $467.74 | Facility | None | $54.95 | $125.89 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $23.99 | $36.31 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.72 Typical High $19.50 | Professional | 26 · Professional part | $6.92 | $10.72 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $16.98 | $26.30 | $47.86 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $40.74 | $56.23 | $56.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $269.15 | $269.15 | $371.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 26 · Professional part | $102.33 | $102.33 | $104.71 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $208.93 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $39.81 Median $288.40 Typical High $457.09 | Facility | None | $39.81 | $288.40 | $457.09 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $269.15 | Facility | TC · Technical part | $25.12 | $40.74 | $269.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $27.54 | $35.48 | $61.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $7.76 | $10.00 | $16.98 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $25.12 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.18 Median $34.67 Typical High $79.43 | Professional | None (both parts) | $13.18 | $34.67 | $79.43 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $112.20 Typical High $467.74 | Facility | None | $36.31 | $112.20 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $23.99 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $23.99 | $36.31 | $69.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $6.92 | $10.47 | $17.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $25.70 | $42.66 |
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 $31.62 Median $38.90 Typical High $58.88 | Professional | None (both parts) | $31.62 | $38.90 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $9.12 | $11.48 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $28.18 | $41.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TC · Technical part | $30.90 | $30.90 | $30.90 |
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 $13.80 Median $21.38 Typical High $123.03 | Facility | 52 · Reduced service | $13.80 | $21.38 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $8.51 Typical High $50.12 | Facility | 53 · Discontinued | $5.50 | $8.51 | $50.12 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.88 Median $31.62 Typical High $114.82 | Facility | FX · Film X-ray | $21.88 | $31.62 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $17.38 Typical High $21.88 | Professional | 52 · Reduced service | $13.80 | $17.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.92 Typical High $8.71 | Professional | 53 · Discontinued | $5.50 | $6.92 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $28.18 Typical High $32.36 | Professional | FX · Film X-ray | $21.88 | $28.18 | $32.36 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $13.80 Median $19.50 Typical High $60.26 | Facility | 52 · Reduced service | $13.80 | $19.50 | $60.26 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.50 Median $7.94 Typical High $24.55 | Facility | 53 · Discontinued | $5.50 | $7.94 | $24.55 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $20.42 Median $31.62 Typical High $123.03 | Facility | FX · Film X-ray | $20.42 | $31.62 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $17.38 Typical High $21.38 | Professional | 52 · Reduced service | $13.80 | $17.38 | $21.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.92 Typical High $8.51 | Professional | 53 · Discontinued | $5.50 | $6.92 | $8.51 |
Where Texas sits
The same service costs 3.7 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· 49th of 51
$35.48
AK $123UT $33.11
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.