How much rates vary
Facilitymedian $186 · 10th to 90th $56 to $468Professionalmedian $31 · 10th to 90th $6 to $234
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 $23.99 Median $29.51 Typical High $46.77 | Facility | None | $23.99 | $29.51 | $46.77 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $6.76 Typical High $10.96 | Facility | 26 · Professional part | $5.37 | $6.76 | $10.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $141.25 | Facility | TC · Technical part | $19.50 | $26.92 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $51.29 | Professional | None (both parts) | $23.99 | $30.20 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.08 Typical High $11.48 | Professional | 26 · Professional part | $5.37 | $7.08 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $23.44 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $42.66 | Professional | None (both parts) | $23.99 | $30.20 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $16.60 | Professional | 26 · Professional part | $6.03 | $8.51 | $16.60 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $19.05 | $23.44 | $37.15 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $426.58 | Facility | None | $79.43 | $204.17 | $426.58 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.46 Median $28.18 Typical High $38.02 | Professional | None (both parts) | $6.46 | $28.18 | $38.02 |
Baylor Scott & White Setting Facility Modifier None Typical Low $34.67 Median $58.88 Typical High $467.74 | Facility | None | $34.67 | $58.88 | $467.74 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $48.98 | Professional | None (both parts) | $33.88 | $36.31 | $48.98 |
Christus Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $8.51 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $112.20 Typical High $380.19 | Facility | None | $46.77 | $112.20 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $21.38 | $31.62 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.41 Typical High $14.79 | Professional | 26 · Professional part | $4.79 | $7.41 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $24.55 | $40.74 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $38.90 | $45.71 | $74.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $234.42 | $234.42 | $331.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $70.79 | $70.79 | $72.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $181.97 | $181.97 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $316.23 Typical High $630.96 | Facility | None | $42.66 | $316.23 | $630.96 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $5.37 Median $6.76 Typical High $10.96 | Facility | 26 · Professional part | $5.37 | $6.76 | $10.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $85.11 Typical High $338.84 | Facility | TC · Technical part | $21.88 | $85.11 | $338.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $58.88 | Professional | None (both parts) | $23.99 | $30.90 | $58.88 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.08 Typical High $13.80 | Professional | 26 · Professional part | $5.37 | $7.08 | $13.80 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $23.44 | $41.69 |
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 Professional Modifier None (both parts) Typical Low $9.12 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $9.12 | $33.11 | $69.18 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $97.72 Typical High $380.19 | Facility | None | $30.90 | $97.72 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.38 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $21.38 | $31.62 | $54.95 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.41 Typical High $13.49 | Professional | 26 · Professional part | $4.79 | $7.41 | $13.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $38.90 | Professional | TC · Technical part | $16.60 | $23.99 | $38.90 |
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 $26.30 Median $32.36 Typical High $48.98 | Professional | None (both parts) | $26.30 | $32.36 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $8.51 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $23.44 | $37.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | TC · Technical part | $29.51 | $29.51 | $29.51 |
14 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 $12.02 Median $19.95 Typical High $114.82 | Facility | 52 · Reduced service | $12.02 | $19.95 | $114.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $7.94 Typical High $46.77 | Facility | 53 · Discontinued | $4.79 | $7.94 | $46.77 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $20.42 Median $29.51 Typical High $107.15 | Facility | FX · Film X-ray | $20.42 | $29.51 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $14.79 Typical High $18.62 | Professional | 52 · Reduced service | $12.02 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.03 Typical High $7.41 | Professional | 53 · Discontinued | $4.79 | $6.03 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $23.99 Typical High $28.18 | Professional | FX · Film X-ray | $19.05 | $23.99 | $28.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $43.65 Typical High $56.23 | Professional | 50 · Both sides | $32.36 | $43.65 | $56.23 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $138.04 Median $467.74 Typical High $933.25 | Facility | 50 · Both sides | $138.04 | $467.74 | $933.25 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.02 Median $18.20 Typical High $56.23 | Facility | 52 · Reduced service | $12.02 | $18.20 | $56.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $7.41 Typical High $22.91 | Facility | 53 · Discontinued | $4.79 | $7.41 | $22.91 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $29.51 Typical High $114.82 | Facility | FX · Film X-ray | $19.05 | $29.51 | $114.82 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $58.88 Typical High $141.25 | Professional | 50 · Both sides | $28.84 | $58.88 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $14.79 Typical High $18.20 | Professional | 52 · Reduced service | $12.02 | $14.79 | $18.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.03 Typical High $7.24 | Professional | 53 · Discontinued | $4.79 | $6.03 | $7.24 |
Where Texas sits
The same service costs 13.5 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· 49th of 51
$31.62
VT $389FL $28.84
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.