How much rates vary
Facilitymedian $692 · 10th to 90th $251 to $1,862Professionalmedian $245 · 10th to 90th $38 to $724
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 $309.03 Median $812.83 Typical High $1,819.70 | Facility | None | $309.03 | $812.83 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $2,511.89 | Facility | TC · Technical part | $234.42 | $416.87 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $245.47 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $83.18 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $295.12 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $204.17 | $234.42 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $147.91 | Professional | 26 · Professional part | $43.65 | $48.98 | $147.91 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $891.25 Typical High $1,737.80 | Facility | None | $257.04 | $891.25 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $50.12 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $50.12 | $239.88 | $354.81 |
Baylor Scott & White Setting Facility Modifier None Typical Low $295.12 Median $724.44 Typical High $1,148.15 | Facility | None | $295.12 | $724.44 | $1,148.15 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $269.15 | $269.15 | $436.52 |
Christus Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $61.66 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $812.83 Typical High $1,023.29 | Facility | None | $512.86 | $812.83 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $676.08 | Professional | None (both parts) | $173.78 | $295.12 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $36.31 | $60.26 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $138.04 | $234.42 | $537.03 |
Health Smart Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $467.74 | $524.81 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $2,884.03 | $3,019.95 | $3,019.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | 26 · Professional part | $467.74 | $467.74 | $524.81 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,570.40 Typical High $2,570.40 | Professional | TC · Technical part | $2,511.89 | $2,570.40 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $323.59 Median $1,348.96 Typical High $2,691.53 | Facility | None | $323.59 | $1,348.96 | $2,691.53 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $630.96 Typical High $2,691.53 | Facility | TC · Technical part | $269.15 | $630.96 | $2,691.53 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $245.47 | $380.19 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $83.18 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $295.12 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $33.88 | $208.93 | $302.00 |
Oscar Health Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $724.44 | Facility | None | $371.54 | $630.96 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $66.07 | $269.15 | $549.54 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $562.34 Typical High $1,000.00 | Facility | None | $288.40 | $562.34 | $1,000.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $645.65 | Professional | None (both parts) | $173.78 | $295.12 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $112.20 | Professional | 26 · Professional part | $36.31 | $60.26 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $478.63 | Professional | TC · Technical part | $138.04 | $234.42 | $478.63 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $281.84 | $371.54 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $69.18 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $302.00 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
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 $141.25 Median $229.09 Typical High $1,479.11 | Facility | 52 · Reduced service | $141.25 | $229.09 | $1,479.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $588.84 | Facility | 53 · Discontinued | $57.54 | $91.20 | $588.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $229.09 Median $323.59 Typical High $1,122.02 | Facility | FX · Film X-ray | $229.09 | $323.59 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $190.55 Typical High $263.03 | Professional | 52 · Reduced service | $120.23 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $75.86 Typical High $104.71 | Professional | 53 · Discontinued | $48.98 | $75.86 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $302.00 Typical High $416.87 | Professional | FX · Film X-ray | $194.98 | $302.00 | $416.87 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $134.90 Median $229.09 Typical High $512.86 | Facility | 52 · Reduced service | $134.90 | $229.09 | $512.86 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $91.20 Typical High $204.17 | Facility | 53 · Discontinued | $53.70 | $91.20 | $204.17 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $213.80 Median $302.00 Typical High $1,174.90 | Facility | FX · Film X-ray | $213.80 | $302.00 | $1,174.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $190.55 Typical High $263.03 | Professional | 52 · Reduced service | $120.23 | $190.55 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $75.86 Typical High $104.71 | Professional | 53 · Discontinued | $48.98 | $75.86 | $104.71 |
Where Texas sits
The same service costs 5.1 times more in Wyoming 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
$251
WY $1,202UT $234
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.