How much rates vary
Facilitymedian $562 · 10th to 90th $251 to $1,622Professionalmedian $100 · 10th to 90th $18 to $562
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 $93.33 Median $158.49 Typical High $512.86 | Facility | None | $93.33 | $158.49 | $512.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $912.01 | Facility | TC · Technical part | $91.20 | $158.49 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $91.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $22.91 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $91.20 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $75.86 | $75.86 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $371.54 Median $1,023.29 Typical High $1,698.24 | Facility | None | $371.54 | $1,023.29 | $1,698.24 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $28.84 | $93.33 | $144.54 |
Christus Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $398.11 Typical High $1,584.89 | Facility | None | $154.88 | $398.11 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $74.13 | $114.82 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $15.49 | $23.44 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $89.13 | $144.54 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $104.71 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $891.25 | $891.25 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | 26 · Professional part | $173.78 | $173.78 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | TC · Technical part | $724.44 | $724.44 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $1,905.46 | Facility | None | $109.65 | $173.78 | $1,905.46 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $1,995.26 | Facility | TC · Technical part | $93.33 | $173.78 | $1,995.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $91.20 | $112.20 | $165.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $22.91 | $34.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $91.20 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $15.49 | $85.11 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $28.84 | $117.49 | $239.88 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $371.54 Typical High $1,584.89 | Facility | None | $109.65 | $371.54 | $1,584.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $74.13 | $114.82 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.44 Typical High $42.66 | Professional | 26 · Professional part | $15.49 | $23.44 | $42.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $87.10 | $134.90 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $91.20 | $114.82 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $27.54 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $89.13 | $128.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
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 $46.77 Median $79.43 Typical High $457.09 | Facility | 52 · Reduced service | $46.77 | $79.43 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $31.62 Typical High $181.97 | Facility | 53 · Discontinued | $18.62 | $31.62 | $181.97 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $117.49 Typical High $426.58 | Facility | FX · Film X-ray | $74.13 | $117.49 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $22.91 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $91.20 Typical High $104.71 | Professional | FX · Film X-ray | $72.44 | $91.20 | $104.71 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $72.44 Typical High $223.87 | Facility | 52 · Reduced service | $46.77 | $72.44 | $223.87 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $29.51 Typical High $91.20 | Facility | 53 · Discontinued | $18.62 | $29.51 | $91.20 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $117.49 Typical High $446.68 | Facility | FX · Film X-ray | $74.13 | $117.49 | $446.68 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $56.23 | $64.57 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $22.91 | $25.70 |
Where Texas sits
The same service costs 4.2 times more in Alaska than in New York. 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· 47th of 51
$105
AK $398NY $95.50
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.