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 $87.10 Median $112.20 Typical High $112.20 | Facility | None | $87.10 | $112.20 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $891.25 | Facility | TC · Technical part | $89.13 | $151.36 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $87.10 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $22.91 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $87.10 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $1,905.46 | Facility | None | $398.11 | $1,148.15 | $1,905.46 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $28.84 | $91.20 | $138.04 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 26 · Professional part | $25.70 | $25.70 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $389.05 Typical High $1,584.89 | Facility | None | $147.91 | $389.05 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $70.79 | $109.65 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $15.49 | $23.99 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $87.10 | $144.54 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $100.00 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $100.00 | $169.82 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | None (both parts) | $870.96 | $870.96 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 26 · Professional part | $204.17 | $204.17 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | TC · Technical part | $691.83 | $691.83 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $181.97 | Facility | None | $102.33 | $128.82 | $181.97 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $436.52 | Facility | TC · Technical part | $89.13 | $141.25 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $87.10 | $112.20 | $147.91 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $22.91 | $35.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $87.10 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $15.49 | $83.18 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $30.20 | $117.49 | $239.88 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $363.08 Typical High $1,584.89 | Facility | None | $107.15 | $363.08 | $1,584.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $70.79 | $109.65 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $23.99 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $23.99 | $43.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $85.11 | $131.83 |
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 $91.20 Median $114.82 Typical High $173.78 | Professional | None (both parts) | $91.20 | $114.82 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $28.18 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $87.10 | $131.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $44.67 Median $75.86 Typical High $446.68 | Facility | 52 · Reduced service | $44.67 | $75.86 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $30.20 Typical High $177.83 | Facility | 53 · Discontinued | $18.20 | $30.20 | $177.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $112.20 Typical High $416.87 | Facility | FX · Film X-ray | $72.44 | $112.20 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $43.65 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $17.38 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $89.13 Typical High $100.00 | Professional | FX · Film X-ray | $70.79 | $89.13 | $100.00 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $44.67 Median $70.79 Typical High $218.78 | Facility | 52 · Reduced service | $44.67 | $70.79 | $218.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $28.18 Typical High $87.10 | Facility | 53 · Discontinued | $18.20 | $28.18 | $87.10 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $112.20 Typical High $436.52 | Facility | FX · Film X-ray | $72.44 | $112.20 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $43.65 | $54.95 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $17.38 | $21.88 | $25.12 |
Where Texas sits
The same service costs 3.9 times more in Alaska than in New York. 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· 48th of 51
$102
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.