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 $234.42 Median $602.56 Typical High $1,288.25 | Facility | None | $234.42 | $602.56 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $1,819.70 | Facility | TC · Technical part | $177.83 | $302.00 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $426.58 | Professional | None (both parts) | $199.53 | $245.47 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $60.26 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $147.91 | $181.97 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $165.96 | $204.17 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $46.77 | $54.95 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $691.83 Typical High $1,412.54 | Facility | None | $245.47 | $691.83 | $1,412.54 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $47.86 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $47.86 | $169.82 | $309.03 |
Christus Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $676.08 Typical High $870.96 | Facility | None | $371.54 | $676.08 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $144.54 | $245.47 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $33.11 | $53.70 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $398.11 | Professional | TC · Technical part | $112.20 | $190.55 | $398.11 |
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 $2,238.72 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $2,238.72 | $2,290.87 | $2,290.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | 26 · Professional part | $457.09 | $457.09 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $489.78 Typical High $1,995.26 | Facility | None | $245.47 | $489.78 | $1,995.26 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $177.83 | $302.00 | $724.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $436.52 | Professional | None (both parts) | $199.53 | $245.47 | $436.52 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $60.26 | $85.11 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $181.97 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $27.54 | $147.91 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $58.88 | $218.78 | $457.09 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $446.68 Typical High $812.83 | Facility | None | $223.87 | $446.68 | $812.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $144.54 | $245.47 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $53.70 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $112.20 | $186.21 | $363.08 |
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 $208.93 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $208.93 | $275.42 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $162.18 | $213.80 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
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 $97.72 Median $162.18 Typical High $912.01 | Facility | 52 · Reduced service | $97.72 | $162.18 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $64.57 Typical High $363.08 | Facility | 53 · Discontinued | $39.81 | $64.57 | $363.08 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $251.19 Typical High $933.25 | Facility | CT · Older CT scanner | $158.49 | $251.19 | $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 $97.72 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $39.81 | $48.98 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $208.93 Typical High $263.03 | Professional | CT · Older CT scanner | $165.96 | $208.93 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $194.98 Typical High $251.19 | Professional | FX · Film X-ray | $158.49 | $194.98 | $251.19 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $147.91 Typical High $346.74 | Facility | 52 · Reduced service | $93.33 | $147.91 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $60.26 Typical High $141.25 | Facility | 53 · Discontinued | $37.15 | $60.26 | $141.25 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $251.19 Typical High $977.24 | Facility | CT · Older CT scanner | $158.49 | $251.19 | $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 $97.72 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $117.49 | $154.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $39.81 | $46.77 | $61.66 |
Where Texas sits
The same service costs 5.0 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
$195
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.