How much rates vary
Facilitymedian $151 · 10th to 90th $60 to $389Professionalmedian $28 · 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 $20.89 Median $26.30 Typical High $47.86 | Facility | None | $20.89 | $26.30 | $47.86 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.61 Typical High $10.72 | Facility | 26 · Professional part | $5.13 | $6.61 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $30.20 Typical High $123.03 | Facility | TC · Technical part | $17.78 | $30.20 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $20.89 | $26.92 | $44.67 |
Aetna 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 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $19.95 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.70 Typical High $38.90 | Professional | None (both parts) | $21.88 | $25.70 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.61 Typical High $19.05 | Professional | 26 · Professional part | $5.50 | $6.61 | $19.05 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | TC · Technical part | $20.42 | $20.42 | $23.99 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $380.19 | Facility | None | $79.43 | $204.17 | $380.19 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.31 Median $23.99 Typical High $33.11 | Professional | None (both parts) | $6.31 | $23.99 | $33.11 |
Baylor Scott & White Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $302.00 | Facility | None | $87.10 | $87.10 | $302.00 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $31.62 | $33.11 | $60.26 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $7.94 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $97.72 Typical High $380.19 | Facility | None | $40.74 | $97.72 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $28.18 Typical High $50.12 | Professional | None (both parts) | $18.62 | $28.18 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $13.80 | Professional | 26 · Professional part | $4.68 | $7.08 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.89 Typical High $35.48 | Professional | TC · Technical part | $14.13 | $20.89 | $35.48 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $27.54 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $27.54 | $42.66 | $42.66 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $208.93 | $208.93 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $162.18 | $162.18 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $257.04 Typical High $524.81 | Facility | None | $33.11 | $257.04 | $524.81 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.61 Typical High $11.22 | Facility | 26 · Professional part | $5.13 | $6.61 | $11.22 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $457.09 | Facility | TC · Technical part | $18.62 | $31.62 | $457.09 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $47.86 | Professional | None (both parts) | $20.89 | $26.92 | $47.86 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $12.02 | Professional | 26 · Professional part | $5.13 | $6.76 | $12.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $19.50 | $33.88 |
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 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $87.10 Typical High $380.19 | Facility | None | $26.92 | $87.10 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $18.62 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $18.62 | $28.18 | $48.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $12.88 | Professional | 26 · Professional part | $4.68 | $7.08 | $12.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $14.13 | $20.42 | $33.11 |
United Setting Facility Modifier None Typical Low $131.83 Median $138.04 Typical High $181.97 | Facility | None | $131.83 | $138.04 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $44.67 | Professional | None (both parts) | $23.99 | $28.84 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $12.88 | Professional | 26 · Professional part | $6.46 | $8.13 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $32.36 | Professional | TC · Technical part | $17.38 | $20.89 | $32.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
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 $10.47 Median $16.98 Typical High $100.00 | Facility | 52 · Reduced service | $10.47 | $16.98 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $6.76 Typical High $39.81 | Facility | 53 · Discontinued | $4.17 | $6.76 | $39.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $17.78 Median $25.12 Typical High $93.33 | Facility | FX · Film X-ray | $17.78 | $25.12 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $6.61 | Professional | 53 · Discontinued | $4.17 | $5.25 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.60 | $21.38 | $25.12 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $15.85 Typical High $48.98 | Facility | 52 · Reduced service | $10.47 | $15.85 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.17 Median $6.31 Typical High $19.50 | Facility | 53 · Discontinued | $4.17 | $6.31 | $19.50 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $16.22 Median $25.12 Typical High $97.72 | Facility | FX · Film X-ray | $16.22 | $25.12 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $16.22 | Professional | 52 · Reduced service | $10.47 | $13.18 | $16.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $6.46 | Professional | 53 · Discontinued | $4.17 | $5.25 | $6.46 |
Where Texas sits
The same service costs 6.0 times more in Vermont 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· 48th of 51
$28.84
VT $155FL $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.