How much rates vary
Facilitymedian $191 · 10th to 90th $52 to $490Professionalmedian $28 · 10th to 90th $6 to $200
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 $20.42 Median $25.12 Typical High $40.74 | Facility | None | $20.42 | $25.12 | $40.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.46 Typical High $10.23 | Facility | 26 · Professional part | $5.13 | $6.46 | $10.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $117.49 | Facility | TC · Technical part | $16.98 | $23.44 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $43.65 | Professional | None (both parts) | $20.42 | $25.70 | $43.65 |
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 $15.14 Median $19.05 Typical High $32.36 | Professional | TC · Technical part | $15.14 | $19.05 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.88 Typical High $30.90 | Professional | None (both parts) | $17.78 | $21.88 | $30.90 |
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 $15.14 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $15.14 | $21.88 | $35.48 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $537.03 | Facility | None | $123.03 | $309.03 | $537.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.31 Median $24.55 Typical High $33.88 | Professional | None (both parts) | $6.31 | $24.55 | $33.88 |
Baylor Scott & White Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $602.56 | Facility | None | $30.20 | $47.86 | $602.56 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.90 Typical High $33.88 | Professional | None (both parts) | $30.20 | $30.90 | $33.88 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $97.72 Typical High $467.74 | Facility | None | $38.90 | $97.72 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $17.78 | $27.54 | $47.86 |
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 $13.18 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $13.18 | $19.95 | $33.11 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $26.92 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $26.92 | $40.74 | $40.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $199.53 | $199.53 | $269.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 26 · Professional part | $63.10 | $63.10 | $67.61 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $154.88 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $269.15 Typical High $457.09 | Facility | None | $28.18 | $269.15 | $457.09 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.46 Typical High $10.72 | Facility | 26 · Professional part | $5.13 | $6.46 | $10.72 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $30.20 Typical High $331.13 | Facility | TC · Technical part | $16.98 | $30.20 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $46.77 | Professional | None (both parts) | $20.42 | $25.70 | $46.77 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $11.75 | Professional | 26 · Professional part | $5.13 | $6.76 | $11.75 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $32.36 | Professional | TC · Technical part | $15.14 | $18.62 | $32.36 |
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 $36.31 Median $190.55 Typical High $190.55 | Facility | None | $36.31 | $190.55 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $26.30 Typical High $57.54 | Professional | None (both parts) | $8.51 | $26.30 | $57.54 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $89.13 Typical High $467.74 | Facility | None | $26.30 | $89.13 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $17.78 Median $26.92 Typical High $47.86 | Professional | None (both parts) | $17.78 | $26.92 | $47.86 |
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 $13.18 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $13.18 | $19.50 | $31.62 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $43.65 | Professional | None (both parts) | $22.91 | $28.18 | $43.65 |
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 $16.60 Median $19.95 Typical High $30.90 | Professional | TC · Technical part | $16.60 | $19.95 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
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 $10.23 Median $16.22 Typical High $95.50 | Facility | 52 · Reduced service | $10.23 | $16.22 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $6.46 Typical High $38.02 | Facility | 53 · Discontinued | $4.07 | $6.46 | $38.02 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $16.98 Median $23.99 Typical High $89.13 | Facility | FX · Film X-ray | $16.98 | $23.99 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $16.22 | Professional | 52 · Reduced service | $10.23 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $6.46 | Professional | 53 · Discontinued | $4.07 | $5.13 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $20.42 Typical High $23.99 | Professional | FX · Film X-ray | $16.22 | $20.42 | $23.99 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $31.62 Median $32.36 Typical High $46.77 | Professional | 50 · Both sides | $31.62 | $32.36 | $46.77 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $97.72 Median $436.52 Typical High $691.83 | Facility | 50 · Both sides | $97.72 | $436.52 | $691.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.47 Median $15.49 Typical High $54.95 | Facility | 52 · Reduced service | $10.47 | $15.49 | $54.95 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $6.03 Typical High $18.62 | Facility | 53 · Discontinued | $4.07 | $6.03 | $18.62 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $15.49 Median $23.99 Typical High $93.33 | Facility | FX · Film X-ray | $15.49 | $23.99 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $15.85 | Professional | 52 · Reduced service | $10.23 | $12.88 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $6.03 | Professional | 53 · Discontinued | $4.07 | $5.13 | $6.03 |
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· 46th of 51
$28.84
AK $91.20FL $24.55
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.