How much rates vary
Facilitymedian $155 · 10th to 90th $74 to $479Professionalmedian $29 · 10th to 90th $6 to $209
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 $21.38 Median $27.54 Typical High $47.86 | Facility | None | $21.38 | $27.54 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $204.17 | Facility | TC · Technical part | $20.42 | $33.11 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $42.66 | Professional | None (both parts) | $21.38 | $26.92 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $10.96 | Professional | 26 · Professional part | $5.13 | $6.76 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $32.36 | Professional | TC · Technical part | $16.22 | $20.42 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $27.54 Typical High $28.84 | Professional | None (both parts) | $25.70 | $27.54 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.13 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $8.13 | $15.85 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $112.20 Median $295.12 Typical High $512.86 | Facility | None | $112.20 | $295.12 | $512.86 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.46 Median $26.30 Typical High $36.31 | Professional | None (both parts) | $6.46 | $26.30 | $36.31 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 26 · Professional part | $7.94 | $7.94 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $107.15 Typical High $467.74 | Facility | None | $41.69 | $107.15 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $19.05 | $28.84 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.08 Typical High $14.79 | Professional | 26 · Professional part | $4.79 | $7.08 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.38 Typical High $36.31 | Professional | TC · Technical part | $14.45 | $21.38 | $36.31 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $28.84 | $43.65 | $43.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $208.93 | $208.93 | $295.12 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $158.49 | $158.49 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $26.30 Median $131.83 Typical High $234.42 | Facility | None | $26.30 | $131.83 | $234.42 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $32.36 Typical High $120.23 | Facility | TC · Technical part | $20.42 | $32.36 | $120.23 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $45.71 | Professional | None (both parts) | $21.38 | $26.92 | $45.71 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $11.22 | Professional | 26 · Professional part | $5.13 | $6.76 | $11.22 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $34.67 | Professional | TC · Technical part | $16.22 | $20.42 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $4.90 | $28.18 | $36.31 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $28.18 Typical High $61.66 | Professional | None (both parts) | $8.91 | $28.18 | $61.66 |
Providence Setting Facility Modifier None Typical Low $27.54 Median $93.33 Typical High $467.74 | Facility | None | $27.54 | $93.33 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $19.05 | $28.84 | $51.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.08 Typical High $13.49 | Professional | 26 · Professional part | $4.79 | $7.08 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $14.45 | $20.89 | $33.88 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $45.71 | Professional | None (both parts) | $24.55 | $29.51 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $8.51 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $21.38 | $32.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
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 $10.72 Median $17.38 Typical High $102.33 | Facility | 52 · Reduced service | $10.72 | $17.38 | $102.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.92 Typical High $40.74 | Facility | 53 · Discontinued | $4.27 | $6.92 | $40.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $18.20 Median $25.70 Typical High $95.50 | Facility | FX · Film X-ray | $18.20 | $25.70 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $13.49 Typical High $16.60 | Professional | 52 · Reduced service | $10.72 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.76 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $21.88 Typical High $25.70 | Professional | FX · Film X-ray | $16.98 | $21.88 | $25.70 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.72 Median $16.22 Typical High $50.12 | Facility | 52 · Reduced service | $10.72 | $16.22 | $50.12 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.27 Median $6.46 Typical High $19.95 | Facility | 53 · Discontinued | $4.27 | $6.46 | $19.95 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $16.60 Median $25.70 Typical High $100.00 | Facility | FX · Film X-ray | $16.60 | $25.70 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $13.49 Typical High $16.60 | Professional | 52 · Reduced service | $10.72 | $13.49 | $16.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $6.46 | Professional | 53 · Discontinued | $4.27 | $5.37 | $6.46 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 49th of 51
$29.51
AK $95.50FL $25.70
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.