How much rates vary
Facilitymedian $851 · 10th to 90th $85 to $2,455Professionalmedian $186 · 10th to 90th $30 to $501
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 $371.54 Median $891.25 Typical High $1,819.70 | Facility | None | $371.54 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $2,630.27 | Facility | TC · Technical part | $239.88 | $407.38 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $234.42 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $263.03 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $204.17 | $204.17 | $213.80 |
BCBS Texas Setting Facility Modifier None Typical Low $616.60 Median $1,513.56 Typical High $2,884.03 | Facility | None | $616.60 | $1,513.56 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $107.15 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $107.15 | $223.87 | $562.34 |
Christus Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $75.86 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $1,659.59 | Facility | None | $467.74 | $676.08 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $724.44 | Professional | None (both parts) | $154.88 | $269.15 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $562.34 | Professional | TC · Technical part | $107.15 | $194.98 | $562.34 |
Health Smart Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $616.60 | Facility | None | $602.56 | $602.56 | $616.60 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $676.08 | $676.08 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $691.83 Typical High $1,348.96 | Facility | None | $281.84 | $691.83 | $1,348.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $407.38 Typical High $912.01 | Facility | TC · Technical part | $257.04 | $407.38 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $234.42 | $371.54 | $588.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $107.15 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $263.03 | $371.54 |
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 $83.18 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $83.18 | $208.93 | $489.78 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $645.65 Typical High $1,000.00 | Facility | None | $269.15 | $645.65 | $1,000.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $263.03 Typical High $707.95 | Professional | None (both parts) | $154.88 | $263.03 | $707.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $75.86 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $501.19 | Professional | TC · Technical part | $107.15 | $186.21 | $501.19 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $707.95 | Professional | None (both parts) | $251.19 | $380.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $288.40 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
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 $125.89 Median $204.17 Typical High $1,318.26 | Facility | 52 · Reduced service | $125.89 | $204.17 | $1,318.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $83.18 Typical High $524.81 | Facility | 53 · Discontinued | $51.29 | $83.18 | $524.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $316.23 Typical High $1,000.00 | Facility | FX · Film X-ray | $204.17 | $316.23 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $186.21 Typical High $257.04 | Professional | 52 · Reduced service | $117.49 | $186.21 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $74.13 Typical High $102.33 | Professional | 53 · Discontinued | $47.86 | $74.13 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $295.12 Typical High $407.38 | Professional | FX · Film X-ray | $190.55 | $295.12 | $407.38 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $120.23 Median $204.17 Typical High $457.09 | Facility | 52 · Reduced service | $120.23 | $204.17 | $457.09 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $81.28 Typical High $181.97 | Facility | 53 · Discontinued | $47.86 | $81.28 | $181.97 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $269.15 Typical High $1,047.13 | Facility | FX · Film X-ray | $190.55 | $269.15 | $1,047.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $186.21 Typical High $257.04 | Professional | 52 · Reduced service | $117.49 | $186.21 | $257.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $74.13 Typical High $102.33 | Professional | 53 · Discontinued | $47.86 | $74.13 | $102.33 |
Where Texas sits
The same service costs 5.6 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
$191
WY $1,072TX $191
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.