How much rates vary
Facilitymedian $1,047 · 10th to 90th $224 to $2,630Professionalmedian $229 · 10th to 90th $38 to $537
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 $380.19 Median $812.83 Typical High $1,819.70 | Facility | None | $380.19 | $812.83 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $457.09 Typical High $2,818.38 | Facility | TC · Technical part | $269.15 | $457.09 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $295.12 | $467.74 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $85.11 | $134.90 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $331.13 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $223.87 | $275.42 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $239.88 | Professional | 26 · Professional part | $69.18 | $85.11 | $239.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $245.47 | $467.74 |
BCBS Texas Setting Facility Modifier None Typical Low $380.19 Median $1,380.38 Typical High $2,754.23 | Facility | None | $380.19 | $1,380.38 | $2,754.23 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $85.11 Median $269.15 Typical High $416.87 | Professional | None (both parts) | $85.11 | $269.15 | $416.87 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $323.59 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $323.59 | $331.13 | $512.86 |
Christus Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $100.00 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $851.14 Typical High $1,659.59 | Facility | None | $575.44 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $954.99 | Professional | None (both parts) | $194.98 | $338.84 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $60.26 | $97.72 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $741.31 | Professional | TC · Technical part | $134.90 | $245.47 | $741.31 |
Health Smart Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $616.60 Median $660.69 Typical High $776.25 | Professional | None (both parts) | $616.60 | $660.69 | $776.25 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None (both parts) | $6,165.95 | $6,165.95 | $6,165.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | TC · Technical part | $5,623.41 | $5,623.41 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $1,548.82 Typical High $3,548.13 | Facility | None | $457.09 | $1,548.82 | $3,548.13 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $794.33 Typical High $1,862.09 | Facility | TC · Technical part | $302.00 | $794.33 | $1,862.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $295.12 | $467.74 | $707.95 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $134.90 | $199.53 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $331.13 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $331.13 | Professional | None (both parts) | $20.89 | $107.15 | $331.13 |
Oscar Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,454.71 | Facility | None | $2,187.76 | $2,344.23 | $2,454.71 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $107.15 | $257.04 | $602.56 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $891.25 Typical High $1,318.26 | Facility | None | $338.84 | $891.25 | $1,318.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $870.96 | Professional | None (both parts) | $194.98 | $323.59 | $870.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $97.72 | $169.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $134.90 | $229.09 | $630.96 |
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 $316.23 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $478.63 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $112.20 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $229.09 | $346.74 | $776.25 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $158.49 Median $257.04 Typical High $1,621.81 | Facility | 52 · Reduced service | $158.49 | $257.04 | $1,621.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $102.33 Typical High $660.69 | Facility | 53 · Discontinued | $63.10 | $102.33 | $660.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $371.54 Typical High $1,258.93 | Facility | FX · Film X-ray | $257.04 | $371.54 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $229.09 Typical High $323.59 | Professional | 52 · Reduced service | $147.91 | $229.09 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $91.20 Typical High $128.82 | Professional | 53 · Discontinued | $58.88 | $91.20 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $371.54 Typical High $512.86 | Professional | FX · Film X-ray | $239.88 | $371.54 | $512.86 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 59 · Distinct service | $257.04 | $257.04 | $257.04 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $257.04 Typical High $575.44 | Facility | 52 · Reduced service | $151.36 | $257.04 | $575.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $102.33 Typical High $229.09 | Facility | 53 · Discontinued | $60.26 | $102.33 | $229.09 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $239.88 Median $338.84 Typical High $1,318.26 | Facility | FX · Film X-ray | $239.88 | $338.84 | $1,318.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $229.09 Typical High $323.59 | Professional | 52 · Reduced service | $147.91 | $229.09 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $91.20 Typical High $128.82 | Professional | 53 · Discontinued | $58.88 | $91.20 | $128.82 |
Where Texas sits
The same service costs 5.8 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
$234
WY $1,349UT $234
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.