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 $467.74 Median $891.25 Typical High $1,819.70 | Facility | None | $467.74 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $537.03 Typical High $3,467.37 | Facility | TC · Technical part | $316.23 | $537.03 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $295.12 | $467.74 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $147.91 | Professional | 26 · Professional part | $69.18 | $109.65 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $354.81 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $81.28 | $81.28 | $131.83 |
BCBS Texas Setting Facility Modifier None Typical Low $512.86 Median $1,230.27 Typical High $2,137.96 | Facility | None | $512.86 | $1,230.27 | $2,137.96 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $77.62 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $77.62 | $281.84 | $660.69 |
Christus Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
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 $512.86 Median $870.96 Typical High $1,174.90 | Facility | None | $512.86 | $870.96 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $194.98 | $331.13 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $48.98 | $79.43 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $147.91 | $251.19 | $575.44 |
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 $575.44 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $575.44 | $660.69 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,019.95 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | 26 · Professional part | $616.60 | $616.60 | $676.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,570.40 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $2,570.40 | $2,691.53 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,778.28 | Facility | None | $346.74 | $660.69 | $1,778.28 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $1,202.26 | Facility | TC · Technical part | $316.23 | $524.81 | $1,202.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $660.69 | Professional | None (both parts) | $295.12 | $467.74 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $109.65 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $354.81 | $489.78 |
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 Professional Modifier None (both parts) Typical Low $87.10 Median $281.84 Typical High $616.60 | Professional | None (both parts) | $87.10 | $281.84 | $616.60 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $630.96 Typical High $1,071.52 | Facility | None | $323.59 | $630.96 | $1,071.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $724.44 | Professional | None (both parts) | $194.98 | $331.13 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $79.43 | $144.54 |
Providence Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $251.19 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $309.03 | $407.38 | $707.95 |
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 $239.88 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $316.23 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $169.82 Median $275.42 Typical High $1,737.80 | Facility | 52 · Reduced service | $169.82 | $275.42 | $1,737.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $109.65 Typical High $691.83 | Facility | 53 · Discontinued | $67.61 | $109.65 | $691.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $269.15 Median $371.54 Typical High $1,318.26 | Facility | FX · Film X-ray | $269.15 | $371.54 | $1,318.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $229.09 Typical High $316.23 | Professional | 52 · Reduced service | $147.91 | $229.09 | $316.23 |
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 $234.42 Median $371.54 Typical High $512.86 | Professional | FX · Film X-ray | $234.42 | $371.54 | $512.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $269.15 Typical High $602.56 | Facility | 52 · Reduced service | $158.49 | $269.15 | $602.56 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $109.65 Typical High $245.47 | Facility | 53 · Discontinued | $64.57 | $109.65 | $245.47 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $363.08 Typical High $1,412.54 | Facility | FX · Film X-ray | $257.04 | $363.08 | $1,412.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $229.09 Typical High $309.03 | Professional | 52 · Reduced service | $147.91 | $229.09 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $91.20 Typical High $123.03 | Professional | 53 · Discontinued | $58.88 | $91.20 | $123.03 |
Where Texas sits
The same service costs 5.6 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
$263
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.