How much rates vary
Facilitymedian $155 · 10th to 90th $62 to $380Professionalmedian $29 · 10th to 90th $6 to $219
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 $21.88 Median $28.18 Typical High $48.98 | Facility | None | $21.88 | $28.18 | $48.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $11.48 | Facility | 26 · Professional part | $5.13 | $6.76 | $11.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $33.88 Typical High $154.88 | Facility | TC · Technical part | $19.05 | $33.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $46.77 | Professional | None (both parts) | $21.88 | $28.18 | $46.77 |
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 $16.98 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $16.98 | $21.38 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.30 Typical High $38.02 | Professional | None (both parts) | $22.39 | $26.30 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.92 Typical High $19.50 | Professional | 26 · Professional part | $5.75 | $6.92 | $19.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.62 Typical High $19.95 | Professional | TC · Technical part | $14.79 | $18.62 | $19.95 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $208.93 Typical High $426.58 | Facility | None | $79.43 | $208.93 | $426.58 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.31 Median $25.70 Typical High $33.88 | Professional | None (both parts) | $6.31 | $25.70 | $33.88 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $33.11 | $33.88 | $61.66 |
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 $8.13 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $8.13 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $380.19 | Facility | None | $42.66 | $104.71 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $19.05 | $29.51 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $14.45 | Professional | 26 · Professional part | $4.68 | $7.08 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.88 Typical High $37.15 | Professional | TC · Technical part | $14.45 | $21.88 | $37.15 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $36.31 | $40.74 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $218.78 | $218.78 | $295.12 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $61.66 | $69.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $165.96 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $269.15 Typical High $467.74 | Facility | None | $33.11 | $269.15 | $467.74 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.61 Typical High $11.48 | Facility | 26 · Professional part | $5.13 | $6.61 | $11.48 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $38.90 Typical High $389.05 | Facility | TC · Technical part | $19.95 | $38.90 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $21.88 | $28.18 | $48.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $12.30 | Professional | 26 · Professional part | $5.13 | $6.76 | $12.30 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $16.98 | $21.38 | $35.48 |
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 Facility Modifier None Typical Low $602.56 Median $851.14 Typical High $851.14 | Facility | None | $602.56 | $851.14 | $851.14 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.91 Median $29.51 Typical High $63.10 | Professional | None (both parts) | $8.91 | $29.51 | $63.10 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $91.20 Typical High $380.19 | Facility | None | $28.18 | $91.20 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $19.05 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $19.05 | $28.84 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $4.68 | $7.08 | $13.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $21.88 | $35.48 |
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 $25.12 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $25.12 | $30.90 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $6.76 | $8.32 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $18.20 | $22.39 | $34.67 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
13 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 $10.96 Median $18.20 Typical High $107.15 | Facility | 52 · Reduced service | $10.96 | $18.20 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $7.24 Typical High $42.66 | Facility | 53 · Discontinued | $4.37 | $7.24 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $26.92 Typical High $100.00 | Facility | FX · Film X-ray | $19.05 | $26.92 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.80 Typical High $17.38 | Professional | 52 · Reduced service | $10.96 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.50 Typical High $6.92 | Professional | 53 · Discontinued | $4.37 | $5.50 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $22.39 Typical High $26.30 | Professional | FX · Film X-ray | $17.78 | $22.39 | $26.30 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $43.65 Typical High $56.23 | Professional | 50 · Both sides | $39.81 | $43.65 | $56.23 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $75.86 Median $398.11 Typical High $676.08 | Facility | 50 · Both sides | $75.86 | $398.11 | $676.08 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $16.98 Typical High $52.48 | Facility | 52 · Reduced service | $10.96 | $16.98 | $52.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $6.76 Typical High $20.89 | Facility | 53 · Discontinued | $4.37 | $6.76 | $20.89 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $17.38 Median $26.92 Typical High $104.71 | Facility | FX · Film X-ray | $17.38 | $26.92 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $10.96 | $13.80 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $4.37 | $5.50 | $6.76 |
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 $100FL $26.92
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.