How much rates vary
Facilitymedian $195 · 10th to 90th $62 to $437Professionalmedian $29 · 10th to 90th $6 to $219
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 $21.88 Median $27.54 Typical High $42.66 | Facility | None | $21.88 | $27.54 | $42.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.46 Typical High $9.77 | Facility | 26 · Professional part | $5.13 | $6.46 | $9.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $25.12 Typical High $131.83 | Facility | TC · Technical part | $17.78 | $25.12 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.18 Typical High $46.77 | Professional | None (both parts) | $22.39 | $28.18 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $11.22 | Professional | 26 · Professional part | $5.13 | $6.76 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $36.31 | Professional | TC · Technical part | $16.98 | $21.38 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $27.54 Typical High $34.67 | Professional | None (both parts) | $22.39 | $27.54 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.94 Typical High $15.49 | Professional | 26 · Professional part | $6.17 | $7.94 | $15.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $25.12 | $33.88 |
BCBS Texas Setting Facility Modifier None Typical Low $79.43 Median $204.17 Typical High $426.58 | Facility | None | $79.43 | $204.17 | $426.58 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $6.31 Median $25.70 Typical High $34.67 | Professional | None (both parts) | $6.31 | $25.70 | $34.67 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $42.66 | Professional | None (both parts) | $32.36 | $33.88 | $42.66 |
Christus Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $7.94 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $102.33 Typical High $380.19 | Facility | None | $40.74 | $102.33 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $19.50 | $29.51 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $14.79 | Professional | 26 · Professional part | $4.68 | $7.08 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.39 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $22.39 | $37.15 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $36.31 | $41.69 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $218.78 | $218.78 | $295.12 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $169.82 | $169.82 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $295.12 Typical High $549.54 | Facility | None | $42.66 | $295.12 | $549.54 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $5.13 Median $6.46 Typical High $10.72 | Facility | 26 · Professional part | $5.13 | $6.46 | $10.72 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $40.74 Typical High $323.59 | Facility | TC · Technical part | $19.95 | $40.74 | $323.59 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.18 Typical High $51.29 | Professional | None (both parts) | $22.39 | $28.18 | $51.29 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.76 Typical High $12.88 | Professional | 26 · Professional part | $5.13 | $6.76 | $12.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $37.15 | Professional | TC · Technical part | $16.98 | $21.38 | $37.15 |
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 $8.51 Median $29.51 Typical High $63.10 | Professional | None (both parts) | $8.51 | $29.51 | $63.10 |
Providence Setting Facility Modifier None Typical Low $28.84 Median $93.33 Typical High $380.19 | Facility | None | $28.84 | $93.33 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $19.50 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $19.50 | $29.51 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $4.68 | $7.08 | $13.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $14.79 | $21.88 | $35.48 |
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 $30.90 Typical High $47.86 | Professional | None (both parts) | $25.70 | $30.90 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $6.76 | $8.32 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $22.91 | $35.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
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 $11.22 Median $18.62 Typical High $107.15 | Facility | 52 · Reduced service | $11.22 | $18.62 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $7.41 Typical High $42.66 | Facility | 53 · Discontinued | $4.47 | $7.41 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $19.05 Median $27.54 Typical High $100.00 | Facility | FX · Film X-ray | $19.05 | $27.54 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $11.22 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $4.47 | $5.62 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $22.91 Typical High $26.30 | Professional | FX · Film X-ray | $17.78 | $22.91 | $26.30 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $34.67 Typical High $48.98 | Professional | 50 · Both sides | $29.51 | $34.67 | $48.98 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 59 · Distinct service | $28.18 | $28.18 | $28.18 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $89.13 Median $398.11 Typical High $812.83 | Facility | 50 · Both sides | $89.13 | $398.11 | $812.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $11.22 Median $16.98 Typical High $52.48 | Facility | 52 · Reduced service | $11.22 | $16.98 | $52.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.47 Median $6.76 Typical High $20.89 | Facility | 53 · Discontinued | $4.47 | $6.76 | $20.89 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $17.38 Median $27.54 Typical High $104.71 | Facility | FX · Film X-ray | $17.38 | $27.54 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $16.98 | Professional | 52 · Reduced service | $11.22 | $14.13 | $16.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.62 Typical High $6.76 | Professional | 53 · Discontinued | $4.47 | $5.62 | $6.76 |
Where Texas sits
The same service costs 12.9 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
$30.20
VT $347FL $26.92
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.