How much rates vary
Facilitymedian $692 · 10th to 90th $257 to $1,380Professionalmedian $166 · 10th to 90th $26 to $372
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 $269.15 Median $630.96 Typical High $1,288.25 | Facility | None | $269.15 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $1,819.70 | Facility | TC · Technical part | $186.21 | $323.59 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $218.78 | $269.15 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $85.11 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $186.21 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
BCBS Texas Setting Facility Modifier None Typical Low $251.19 Median $707.95 Typical High $1,479.11 | Facility | None | $251.19 | $707.95 | $1,479.11 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $85.11 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $85.11 | $218.78 | $354.81 |
Christus Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
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 $426.58 Median $758.58 Typical High $933.25 | Facility | None | $426.58 | $758.58 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $616.60 | Professional | None (both parts) | $177.83 | $295.12 | $616.60 |
Cigna 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 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $125.89 | $213.80 | $478.63 |
Health Smart Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $371.54 | $426.58 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | 26 · Professional part | $575.44 | $575.44 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $2,691.53 | $2,691.53 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $263.03 Median $575.44 Typical High $2,041.74 | Facility | None | $263.03 | $575.44 | $2,041.74 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $707.95 | Facility | TC · Technical part | $186.21 | $302.00 | $707.95 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $218.78 | $269.15 | $478.63 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $85.11 | $114.82 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $186.21 | $331.13 |
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 $245.47 Typical High $549.54 | Professional | None (both parts) | $87.10 | $245.47 | $549.54 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $575.44 Typical High $912.01 | Facility | None | $251.19 | $575.44 | $912.01 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $177.83 | $288.40 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $77.62 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $125.89 | $204.17 | $416.87 |
United Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $363.08 | Facility | None | $263.03 | $275.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $251.19 | $338.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $91.20 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $239.88 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
14 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 $102.33 Median $162.18 Typical High $912.01 | Facility | 52 · Reduced service | $102.33 | $162.18 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $363.08 | Facility | 53 · Discontinued | $40.74 | $64.57 | $363.08 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $257.04 Typical High $933.25 | Facility | CT · Older CT scanner | $158.49 | $257.04 | $933.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $870.96 | Facility | FX · Film X-ray | $151.36 | $239.88 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $54.95 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $229.09 Typical High $295.12 | Professional | CT · Older CT scanner | $186.21 | $229.09 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $218.78 Typical High $275.42 | Professional | FX · Film X-ray | $177.83 | $218.78 | $275.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $151.36 Typical High $346.74 | Facility | 52 · Reduced service | $93.33 | $151.36 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $60.26 Typical High $141.25 | Facility | 53 · Discontinued | $38.02 | $60.26 | $141.25 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $257.04 Typical High $977.24 | Facility | CT · Older CT scanner | $158.49 | $257.04 | $977.24 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $933.25 | Facility | FX · Film X-ray | $151.36 | $239.88 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $131.83 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $52.48 | $69.18 |
Where Texas sits
The same service costs 5.8 times more in Alaska 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
$170
AK $977TX $170
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.