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 $74.13 Median $102.33 Typical High $331.13 | Facility | None | $74.13 | $102.33 | $331.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $602.56 | Facility | TC · Technical part | $61.66 | $102.33 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $74.13 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $32.36 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $47.86 | $58.88 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $81.28 | $81.28 | $117.49 |
BCBS Texas Setting Facility Modifier None Typical Low $1,819.70 Median $4,570.88 Typical High $7,585.78 | Facility | None | $1,819.70 | $4,570.88 | $7,585.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $32.36 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $32.36 | $87.10 | $123.03 |
Christus Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $37.15 | $37.15 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $467.74 Typical High $7,762.47 | Facility | None | $169.82 | $467.74 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $63.10 | $95.50 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $70.79 | Professional | 26 · Professional part | $22.91 | $34.67 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $40.74 | $63.10 | $131.83 |
Health Smart Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $162.18 | Facility | None | $158.49 | $158.49 | $162.18 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $158.49 | $158.49 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,041.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $426.58 | Facility | None | $95.50 | $181.97 | $426.58 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $114.82 Typical High $851.14 | Facility | TC · Technical part | $61.66 | $114.82 | $851.14 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $74.13 | $93.33 | $151.36 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $33.11 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $47.86 | $58.88 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $57.54 Typical High $134.90 | Professional | None (both parts) | $10.47 | $57.54 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $91.20 Typical High $223.87 | Professional | None (both parts) | $42.66 | $91.20 | $223.87 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $7,762.47 | Facility | None | $117.49 | $295.12 | $7,762.47 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $63.10 | $95.50 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $22.91 | $34.67 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $40.74 | $61.66 | $114.82 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $3,090.30 Typical High $4,073.80 | Facility | None | $2,951.21 | $3,090.30 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $81.28 | $109.65 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $186.21 | Professional | TC · Technical part | $48.98 | $66.07 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
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 $33.88 Median $51.29 Typical High $302.00 | Facility | 52 · Reduced service | $33.88 | $51.29 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $20.42 Typical High $120.23 | Facility | 53 · Discontinued | $13.49 | $20.42 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $75.86 Typical High $281.84 | Facility | FX · Film X-ray | $53.70 | $75.86 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $14.79 | $18.62 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $74.13 Typical High $91.20 | Professional | FX · Film X-ray | $58.88 | $74.13 | $91.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $47.86 Typical High $147.91 | Facility | 52 · Reduced service | $33.11 | $47.86 | $147.91 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $19.05 Typical High $58.88 | Facility | 53 · Discontinued | $13.49 | $19.05 | $58.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $75.86 Typical High $295.12 | Facility | FX · Film X-ray | $48.98 | $75.86 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $46.77 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $14.79 | $18.62 | $22.91 |
Where Texas sits
The same service costs 4.0 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· 50th of 51
$85.11
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.