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 $457.09 Median $891.25 Typical High $1,819.70 | Facility | None | $457.09 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $3,548.13 | Facility | TC · Technical part | $323.59 | $549.54 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $295.12 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $100.00 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $346.74 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $60.26 | $66.07 |
BCBS Texas Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $2,884.03 | Facility | None | $630.96 | $1,513.56 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $63.10 Median $275.42 Typical High $616.60 | Professional | None (both parts) | $63.10 | $275.42 | $616.60 |
Christus Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $72.44 | $72.44 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,659.59 | Facility | None | $562.34 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $741.31 | Professional | None (both parts) | $190.55 | $323.59 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $72.44 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $588.84 | Professional | TC · Technical part | $144.54 | $251.19 | $588.84 |
Health Smart Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $616.60 | Facility | None | $602.56 | $602.56 | $616.60 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | 26 · Professional part | $549.54 | $549.54 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $1,122.02 | Facility | None | $331.13 | $691.83 | $1,122.02 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $562.34 Typical High $1,230.27 | Facility | TC · Technical part | $346.74 | $562.34 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $295.12 | $457.09 | $630.96 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $100.00 | $131.83 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $229.09 | $354.81 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $331.13 | Professional | None (both parts) | $20.89 | $107.15 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $79.43 | $281.84 | $602.56 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $1,071.52 | Facility | None | $331.13 | $676.08 | $1,071.52 |
Providence Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $724.44 | Professional | None (both parts) | $190.55 | $323.59 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $72.44 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $144.54 | $251.19 | $524.81 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $309.03 | $407.38 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $245.47 | $331.13 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $173.78 Median $281.84 Typical High $1,778.28 | Facility | 52 · Reduced service | $173.78 | $281.84 | $1,778.28 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $112.20 Typical High $707.95 | Facility | 53 · Discontinued | $69.18 | $112.20 | $707.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $371.54 Typical High $1,348.96 | Facility | FX · Film X-ray | $275.42 | $371.54 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $229.09 Typical High $316.23 | Professional | 52 · Reduced service | $147.91 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $91.20 Typical High $125.89 | Professional | 53 · Discontinued | $58.88 | $91.20 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $371.54 Typical High $512.86 | Professional | FX · Film X-ray | $234.42 | $371.54 | $512.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $162.18 Median $275.42 Typical High $616.60 | Facility | 52 · Reduced service | $162.18 | $275.42 | $616.60 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $109.65 Typical High $245.47 | Facility | 53 · Discontinued | $64.57 | $109.65 | $245.47 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $263.03 Median $371.54 Typical High $1,412.54 | Facility | FX · Film X-ray | $263.03 | $371.54 | $1,412.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $229.09 Typical High $309.03 | Professional | 52 · Reduced service | $147.91 | $229.09 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $91.20 Typical High $123.03 | Professional | 53 · Discontinued | $58.88 | $91.20 | $123.03 |
Where Texas sits
The same service costs 5.4 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
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.