How much rates vary
Facilitymedian $129 · 10th to 90th $51 to $363Professionalmedian $19 · 10th to 90th $8 to $174
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 $12.88 Median $16.22 Typical High $28.18 | Facility | None | $12.88 | $16.22 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $10.72 Median $18.20 Typical High $114.82 | Facility | TC · Technical part | $10.72 | $18.20 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $17.78 Typical High $30.20 | Professional | None (both parts) | $13.80 | $17.78 | $30.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.17 Typical High $10.23 | Professional | 26 · Professional part | $4.68 | $6.17 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $11.75 Typical High $19.50 | Professional | TC · Technical part | $9.12 | $11.75 | $19.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $16.60 Typical High $17.78 | Professional | None (both parts) | $14.45 | $16.60 | $17.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.17 Typical High $17.38 | Professional | 26 · Professional part | $5.75 | $6.17 | $17.38 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $213.80 Typical High $426.58 | Facility | None | $79.43 | $213.80 | $426.58 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.03 Median $16.60 Typical High $23.44 | Professional | None (both parts) | $6.03 | $16.60 | $23.44 |
Baylor Scott & White Setting Facility Modifier None Typical Low $33.11 Median $154.88 Typical High $275.42 | Facility | None | $33.11 | $154.88 | $275.42 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $20.89 Median $21.38 Typical High $29.51 | Professional | None (both parts) | $20.89 | $21.38 | $29.51 |
Christus Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 26 · Professional part | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $380.19 | Facility | None | $32.36 | $77.62 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.30 Median $19.05 Typical High $38.90 | Professional | None (both parts) | $12.30 | $19.05 | $38.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $6.46 Typical High $12.88 | Professional | 26 · Professional part | $4.27 | $6.46 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $12.59 Typical High $25.70 | Professional | TC · Technical part | $8.13 | $12.59 | $25.70 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $22.91 | $28.18 | $28.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $173.78 | $173.78 | $186.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $125.89 | $147.91 | $147.91 |
Moda Health Setting Facility Modifier None Typical Low $17.38 Median $245.47 Typical High $354.81 | Facility | None | $17.38 | $245.47 | $354.81 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $10.23 Median $18.20 Typical High $85.11 | Facility | TC · Technical part | $10.23 | $18.20 | $85.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $17.78 Typical High $32.36 | Professional | None (both parts) | $13.80 | $17.78 | $32.36 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.17 Typical High $10.96 | Professional | 26 · Professional part | $4.68 | $6.17 | $10.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $11.75 Typical High $20.42 | Professional | TC · Technical part | $9.12 | $11.75 | $20.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.89 Median $12.02 Typical High $18.20 | Professional | None (both parts) | $5.89 | $12.02 | $18.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $7.76 Median $16.60 Typical High $37.15 | Professional | None (both parts) | $7.76 | $16.60 | $37.15 |
Providence Setting Facility Modifier None Typical Low $19.95 Median $60.26 Typical High $380.19 | Facility | None | $19.95 | $60.26 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $12.30 Median $18.62 Typical High $38.90 | Professional | None (both parts) | $12.30 | $18.62 | $38.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $6.46 Typical High $11.75 | Professional | 26 · Professional part | $4.27 | $6.46 | $11.75 |
Providence Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $12.30 Typical High $22.91 | Professional | TC · Technical part | $8.13 | $12.30 | $22.91 |
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 $17.38 Median $21.88 Typical High $34.67 | Professional | None (both parts) | $17.38 | $21.88 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $11.75 | Professional | 26 · Professional part | $6.17 | $7.59 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.45 Typical High $22.39 | Professional | TC · Technical part | $11.22 | $14.45 | $22.39 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | TC · Technical part | $14.45 | $14.45 | $14.45 |
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 $6.46 Median $9.77 Typical High $57.54 | Facility | 52 · Reduced service | $6.46 | $9.77 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $3.98 Typical High $23.44 | Facility | 53 · Discontinued | $2.57 | $3.98 | $23.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $10.23 Median $14.45 Typical High $53.70 | Facility | FX · Film X-ray | $10.23 | $14.45 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $8.91 Typical High $11.22 | Professional | 52 · Reduced service | $6.92 | $8.91 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.55 Typical High $4.47 | Professional | 53 · Discontinued | $2.75 | $3.55 | $4.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | FX · Film X-ray | $11.22 | $14.13 | $16.98 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $6.46 Median $9.12 Typical High $28.18 | Facility | 52 · Reduced service | $6.46 | $9.12 | $28.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $3.63 Typical High $11.22 | Facility | 53 · Discontinued | $2.57 | $3.63 | $11.22 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $9.33 Median $14.45 Typical High $56.23 | Facility | FX · Film X-ray | $9.33 | $14.45 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $8.71 Typical High $11.22 | Professional | 52 · Reduced service | $6.92 | $8.71 | $11.22 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.55 Typical High $4.37 | Professional | 53 · Discontinued | $2.75 | $3.55 | $4.37 |
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· 48th of 51
$21.38
AK $64.57FL $17.38
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.