How much rates vary
Facilitymedian $166 · 10th to 90th $59 to $347Professionalmedian $32 · 10th to 90th $5 to $240
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 $24.55 Median $30.20 Typical High $48.98 | Facility | None | $24.55 | $30.20 | $48.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $4.27 Median $5.50 Typical High $8.51 | Facility | 26 · Professional part | $4.27 | $5.50 | $8.51 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $30.20 Typical High $154.88 | Facility | TC · Technical part | $20.89 | $30.20 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $24.55 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $5.62 Typical High $9.33 | Professional | 26 · Professional part | $4.27 | $5.62 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $25.70 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $41.69 | Professional | None (both parts) | $24.55 | $28.84 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $5.62 Typical High $12.88 | Professional | 26 · Professional part | $4.57 | $5.62 | $12.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $30.90 | Professional | TC · Technical part | $18.62 | $22.39 | $30.90 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $354.81 | Facility | None | $79.43 | $204.17 | $354.81 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $5.25 Median $29.51 Typical High $38.02 | Professional | None (both parts) | $5.25 | $29.51 | $38.02 |
Baylor Scott & White Setting Facility Modifier None Typical Low $35.48 Median $87.10 Typical High $302.00 | Facility | None | $35.48 | $87.10 | $302.00 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $30.90 | Professional | None (both parts) | $25.12 | $30.20 | $30.90 |
Christus Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.61 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $117.49 Typical High $380.19 | Facility | None | $47.86 | $117.49 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $21.88 | $33.11 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.89 Typical High $11.48 | Professional | 26 · Professional part | $3.89 | $5.89 | $11.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.30 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $26.30 | $43.65 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $35.48 | $46.77 | $58.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $239.88 | $239.88 | $338.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $53.70 | $53.70 | $56.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $199.53 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $38.90 Median $208.93 Typical High $389.05 | Facility | None | $38.90 | $208.93 | $389.05 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $4.27 Median $5.37 Typical High $8.91 | Facility | 26 · Professional part | $4.27 | $5.37 | $8.91 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $281.84 | Facility | TC · Technical part | $21.38 | $38.90 | $281.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $24.55 | $31.62 | $57.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $5.62 Typical High $10.72 | Professional | 26 · Professional part | $4.27 | $5.62 | $10.72 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $25.12 | $45.71 |
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 $7.08 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $7.08 | $36.31 | $72.44 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $112.20 Typical High $380.19 | Facility | None | $31.62 | $112.20 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $21.88 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $21.88 | $32.36 | $56.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.89 Typical High $10.72 | Professional | 26 · Professional part | $3.89 | $5.89 | $10.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $25.70 | $40.74 |
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 $25.70 Median $32.36 Typical High $48.98 | Professional | None (both parts) | $25.70 | $32.36 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.76 Typical High $10.72 | Professional | 26 · Professional part | $5.37 | $6.76 | $10.72 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $25.70 | $38.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | TC · Technical part | $32.36 | $32.36 | $32.36 |
12 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 $12.88 Median $21.88 Typical High $125.89 | Facility | 52 · Reduced service | $12.88 | $21.88 | $125.89 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $8.71 Typical High $51.29 | Facility | 53 · Discontinued | $5.13 | $8.71 | $51.29 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $21.38 Median $32.36 Typical High $117.49 | Facility | FX · Film X-ray | $21.38 | $32.36 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.49 Typical High $19.05 | Professional | 52 · Reduced service | $12.30 | $15.49 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.17 Typical High $7.76 | Professional | 53 · Discontinued | $4.90 | $6.17 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $25.12 Typical High $28.84 | Professional | FX · Film X-ray | $19.50 | $25.12 | $28.84 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | 50 · Both sides | $44.67 | $44.67 | $58.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $12.88 Median $19.95 Typical High $61.66 | Facility | 52 · Reduced service | $12.88 | $19.95 | $61.66 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $5.13 Median $8.13 Typical High $25.12 | Facility | 53 · Discontinued | $5.13 | $8.13 | $25.12 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $20.89 Median $32.36 Typical High $125.89 | Facility | FX · Film X-ray | $20.89 | $32.36 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $15.49 Typical High $18.62 | Professional | 52 · Reduced service | $12.30 | $15.49 | $18.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.17 Typical High $7.41 | Professional | 53 · Discontinued | $4.90 | $6.17 | $7.41 |
Where Texas sits
The same service costs 11.5 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 $339FL $29.51
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.