How much rates vary
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 $245.47 Median $630.96 Typical High $1,288.25 | Facility | None | $245.47 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $1,819.70 | Facility | TC · Technical part | $181.97 | $323.59 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $199.53 | $245.47 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $58.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $288.40 | Professional | TC · Technical part | $147.91 | $181.97 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
BCBS Texas Setting Facility Modifier None Typical Low $316.23 Median $758.58 Typical High $1,479.11 | Facility | None | $316.23 | $758.58 | $1,479.11 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $57.54 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $57.54 | $199.53 | $316.23 |
Christus Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 26 · Professional part | $53.70 | $53.70 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $870.96 | Facility | None | $380.19 | $660.69 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $141.25 | $239.88 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $32.36 | $53.70 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $407.38 | Professional | TC · Technical part | $109.65 | $186.21 | $407.38 |
Health Smart Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $457.09 | Professional | None (both parts) | $371.54 | $426.58 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $2,041.74 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | 26 · Professional part | $407.38 | $407.38 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,698.24 | $1,862.09 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $436.52 Typical High $1,000.00 | Facility | None | $234.42 | $436.52 | $1,000.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $181.97 | $302.00 | $691.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $416.87 | Professional | None (both parts) | $199.53 | $245.47 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $60.26 | $79.43 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $181.97 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $27.54 | $147.91 | $234.42 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $58.88 | $213.80 | $446.68 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $812.83 | Facility | None | $223.87 | $416.87 | $812.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $141.25 | $239.88 | $489.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $95.50 | Professional | 26 · Professional part | $32.36 | $53.70 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $109.65 | $186.21 | $354.81 |
United Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $363.08 | Facility | None | $263.03 | $275.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $218.78 | $281.84 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $218.78 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
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 $97.72 Median $162.18 Typical High $912.01 | Facility | 52 · Reduced service | $97.72 | $162.18 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $64.57 Typical High $363.08 | Facility | 53 · Discontinued | $39.81 | $64.57 | $363.08 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $251.19 Typical High $933.25 | Facility | CT · Older CT scanner | $158.49 | $251.19 | $933.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $870.96 | Facility | FX · Film X-ray | $151.36 | $239.88 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $39.81 | $48.98 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $208.93 Typical High $263.03 | Professional | CT · Older CT scanner | $165.96 | $208.93 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $194.98 Typical High $251.19 | Professional | FX · Film X-ray | $158.49 | $194.98 | $251.19 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $147.91 Typical High $346.74 | Facility | 52 · Reduced service | $93.33 | $147.91 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $60.26 Typical High $141.25 | Facility | 53 · Discontinued | $37.15 | $60.26 | $141.25 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $251.19 Typical High $977.24 | Facility | CT · Older CT scanner | $158.49 | $251.19 | $977.24 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $933.25 | Facility | FX · Film X-ray | $151.36 | $239.88 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $97.72 | $117.49 | $154.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $39.81 | $46.77 | $61.66 |
Where Texas sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 50th of 51
$195
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.