How much rates vary
Facilitymedian $661 · 10th to 90th $309 to $1,862Professionalmedian $162 · 10th to 90th $27 to $513
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 $316.23 Median $812.83 Typical High $1,819.70 | Facility | None | $316.23 | $812.83 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $316.23 Typical High $1,949.84 | Facility | TC · Technical part | $204.17 | $316.23 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $204.17 | $316.23 | $549.54 |
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 $144.54 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $229.09 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $151.36 | $181.97 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $56.23 | $128.82 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $891.25 Typical High $1,737.80 | Facility | None | $257.04 | $891.25 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $56.23 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $56.23 | $181.97 | $288.40 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $223.87 | Professional | None (both parts) | $204.17 | $218.78 | $223.87 |
Christus Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $63.10 | $63.10 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $1,023.29 | Facility | None | $398.11 | $575.44 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $645.65 | Professional | None (both parts) | $131.83 | $234.42 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $501.19 | Professional | TC · Technical part | $91.20 | $169.82 | $501.19 |
Health Smart Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $467.74 | $524.81 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $2,951.21 | $3,715.35 | $3,715.35 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,570.40 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $1,412.54 Typical High $2,570.40 | Facility | None | $316.23 | $1,412.54 | $2,570.40 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $549.54 Typical High $4,570.88 | Facility | TC · Technical part | $208.93 | $549.54 | $4,570.88 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $204.17 | $316.23 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $91.20 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $229.09 Typical High $346.74 | Professional | TC · Technical part | $144.54 | $229.09 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $70.79 Typical High $199.53 | Professional | None (both parts) | $20.42 | $70.79 | $199.53 |
Oscar Health Setting Facility Modifier None Typical Low $245.47 Median $630.96 Typical High $724.44 | Facility | None | $245.47 | $630.96 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $177.83 Typical High $416.87 | Professional | None (both parts) | $70.79 | $177.83 | $416.87 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $524.81 Typical High $776.25 | Facility | None | $229.09 | $524.81 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $131.83 | $223.87 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $39.81 | $64.57 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $446.68 | Professional | TC · Technical part | $91.20 | $158.49 | $446.68 |
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 $213.80 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $213.80 | $338.84 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $74.13 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $251.19 | $478.63 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
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 $109.65 Median $199.53 Typical High $1,122.02 | Facility | 52 · Reduced service | $109.65 | $199.53 | $1,122.02 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $79.43 Typical High $446.68 | Facility | 53 · Discontinued | $43.65 | $79.43 | $446.68 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $173.78 Median $275.42 Typical High $851.14 | Facility | FX · Film X-ray | $173.78 | $275.42 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $158.49 Typical High $218.78 | Professional | 52 · Reduced service | $100.00 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $63.10 Typical High $87.10 | Professional | 53 · Discontinued | $40.74 | $63.10 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $257.04 Typical High $346.74 | Professional | FX · Film X-ray | $162.18 | $257.04 | $346.74 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | 59 · Distinct service | $151.36 | $181.97 | $181.97 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $109.65 Median $199.53 Typical High $562.34 | Facility | 52 · Reduced service | $109.65 | $199.53 | $562.34 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $69.18 Typical High $154.88 | Facility | 53 · Discontinued | $40.74 | $69.18 | $154.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $165.96 Median $234.42 Typical High $891.25 | Facility | FX · Film X-ray | $165.96 | $234.42 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $158.49 Typical High $218.78 | Professional | 52 · Reduced service | $100.00 | $158.49 | $218.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $63.10 Typical High $87.10 | Professional | 53 · Discontinued | $40.74 | $63.10 | $87.10 |
Where Texas sits
The same service costs 6.0 times more in Wyoming 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
$166
WY $912UT $151
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.