How much rates vary
Facilitymedian $708 · 10th to 90th $209 to $2,399Professionalmedian $135 · 10th to 90th $22 to $380
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 $208.93 Median $691.83 Typical High $1,698.24 | Facility | None | $208.93 | $691.83 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $100.00 | Facility | 26 · Professional part | $52.48 | $77.62 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $1,148.15 | Facility | TC · Technical part | $144.54 | $239.88 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $177.83 | $275.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $85.11 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $194.98 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $194.98 | Professional | None (both parts) | $134.90 | $165.96 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $52.48 | $107.15 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $107.15 | $107.15 | $134.90 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $891.25 Typical High $1,778.28 | Facility | None | $257.04 | $891.25 | $1,778.28 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $50.12 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $50.12 | $162.18 | $302.00 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $194.98 | $204.17 | $302.00 |
Christus Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
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 $346.74 Median $512.86 Typical High $1,023.29 | Facility | None | $346.74 | $512.86 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $537.03 | Professional | None (both parts) | $117.49 | $199.53 | $537.03 |
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 $81.28 Median $138.04 Typical High $436.52 | Professional | TC · Technical part | $81.28 | $138.04 | $436.52 |
Health Smart Setting Facility Modifier None Typical Low $288.40 Median $524.81 Typical High $851.14 | Facility | None | $288.40 | $524.81 | $851.14 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $229.09 | $489.78 | $954.99 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $1,174.90 | $2,884.03 | $2,884.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $1,445.44 Typical High $3,548.13 | Facility | None | $234.42 | $1,445.44 | $3,548.13 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $100.00 | Facility | 26 · Professional part | $52.48 | $69.18 | $100.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $467.74 Typical High $2,398.83 | Facility | TC · Technical part | $144.54 | $467.74 | $2,398.83 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $177.83 | $275.42 | $575.44 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $85.11 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $194.98 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.60 Median $70.79 Typical High $199.53 | Professional | None (both parts) | $16.60 | $70.79 | $199.53 |
Oscar Health Setting Facility Modifier None Typical Low $208.93 Median $630.96 Typical High $630.96 | Facility | None | $208.93 | $630.96 | $630.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $66.07 | $158.49 | $371.54 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $524.81 Typical High $812.83 | Facility | None | $204.17 | $524.81 | $812.83 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $117.49 | $194.98 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $36.31 | $60.26 | $114.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $371.54 | Professional | TC · Technical part | $81.28 | $138.04 | $371.54 |
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 $181.97 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $181.97 | $245.47 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $69.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $416.87 | Professional | TC · Technical part | $128.82 | $173.78 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
13 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 $93.33 Median $165.96 Typical High $954.99 | Facility | 52 · Reduced service | $93.33 | $165.96 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $67.61 Typical High $380.19 | Facility | 53 · Discontinued | $37.15 | $67.61 | $380.19 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $229.09 Typical High $724.44 | Facility | FX · Film X-ray | $147.91 | $229.09 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $89.13 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $75.86 | Professional | 53 · Discontinued | $35.48 | $54.95 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $223.87 Typical High $302.00 | Professional | FX · Film X-ray | $141.25 | $223.87 | $302.00 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | Q6 · Substitute physician, paid per time | $165.96 | $165.96 | $165.96 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $2,570.40 Median $3,630.78 Typical High $5,248.07 | Facility | 50 · Both sides | $2,570.40 | $3,630.78 | $5,248.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $89.13 Median $147.91 Typical High $331.13 | Facility | 52 · Reduced service | $89.13 | $147.91 | $331.13 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $35.48 Median $58.88 Typical High $131.83 | Facility | 53 · Discontinued | $35.48 | $58.88 | $131.83 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $141.25 Median $199.53 Typical High $758.58 | Facility | FX · Film X-ray | $141.25 | $199.53 | $758.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $89.13 | $138.04 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $54.95 Typical High $75.86 | Professional | 53 · Discontinued | $35.48 | $54.95 | $75.86 |
Where Texas sits
The same service costs 7.1 times more in Vermont 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
$145
VT $955UT $135
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.