How much rates vary
Facilitymedian $166 · 10th to 90th $62 to $407Professionalmedian $25 · 10th to 90th $6 to $182
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 $18.20 Median $22.91 Typical High $40.74 | Facility | None | $18.20 | $22.91 | $40.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $4.68 Median $6.03 Typical High $9.77 | Facility | 26 · Professional part | $4.68 | $6.03 | $9.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $22.39 Typical High $104.71 | Facility | TC · Technical part | $15.14 | $22.39 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.44 Typical High $39.81 | Professional | None (both parts) | $18.20 | $23.44 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.17 Typical High $10.23 | Professional | 26 · Professional part | $4.68 | $6.17 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $29.51 | Professional | TC · Technical part | $13.49 | $16.98 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.95 Typical High $28.18 | Professional | None (both parts) | $16.22 | $19.95 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.76 Typical High $14.79 | Professional | 26 · Professional part | $5.89 | $6.76 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $22.39 | Professional | TC · Technical part | $14.45 | $14.45 | $22.39 |
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 $5.75 Median $21.38 Typical High $28.84 | Professional | None (both parts) | $5.75 | $21.38 | $28.84 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.18 Typical High $30.90 | Professional | None (both parts) | $27.54 | $28.18 | $30.90 |
Christus Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $7.59 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $89.13 Typical High $380.19 | Facility | None | $38.02 | $89.13 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $24.55 Typical High $45.71 | Professional | None (both parts) | $16.22 | $24.55 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $6.46 Typical High $13.18 | Professional | 26 · Professional part | $4.27 | $6.46 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $18.20 Typical High $32.36 | Professional | TC · Technical part | $12.02 | $18.20 | $32.36 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $26.30 | $37.15 | $37.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $181.97 | $181.97 | $251.19 |
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 $154.88 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $154.88 | $154.88 | $186.21 |
Moda Health Setting Facility Modifier None Typical Low $31.62 Median $257.04 Typical High $501.19 | Facility | None | $31.62 | $257.04 | $501.19 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $4.68 Median $6.03 Typical High $9.77 | Facility | 26 · Professional part | $4.68 | $6.03 | $9.77 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $30.20 Typical High $263.03 | Facility | TC · Technical part | $15.85 | $30.20 | $263.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.44 Typical High $42.66 | Professional | None (both parts) | $18.20 | $23.44 | $42.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.17 Typical High $10.96 | Professional | 26 · Professional part | $4.68 | $6.17 | $10.96 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $29.51 | Professional | TC · Technical part | $13.49 | $16.98 | $29.51 |
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 Facility Modifier None Typical Low $114.82 Median $758.58 Typical High $758.58 | Facility | None | $114.82 | $758.58 | $758.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.13 Median $23.44 Typical High $52.48 | Professional | None (both parts) | $8.13 | $23.44 | $52.48 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $79.43 Typical High $380.19 | Facility | None | $23.99 | $79.43 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.22 Median $24.55 Typical High $45.71 | Professional | None (both parts) | $16.22 | $24.55 | $45.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $4.27 Median $6.46 Typical High $12.02 | Professional | 26 · Professional part | $4.27 | $6.46 | $12.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $18.20 Typical High $28.84 | Professional | TC · Technical part | $12.02 | $18.20 | $28.84 |
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 $20.89 Median $26.92 Typical High $40.74 | Professional | None (both parts) | $20.89 | $26.92 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $11.75 | Professional | 26 · Professional part | $6.03 | $7.59 | $11.75 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $28.84 | Professional | TC · Technical part | $15.14 | $19.05 | $28.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $20.89 | $20.89 | $20.89 |
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 $9.12 Median $14.79 Typical High $85.11 | Facility | 52 · Reduced service | $9.12 | $14.79 | $85.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $5.89 Typical High $33.88 | Facility | 53 · Discontinued | $3.63 | $5.89 | $33.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $15.14 Median $21.88 Typical High $79.43 | Facility | FX · Film X-ray | $15.14 | $21.88 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.48 Typical High $14.79 | Professional | 52 · Reduced service | $9.12 | $11.48 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.57 Typical High $5.89 | Professional | 53 · Discontinued | $3.63 | $4.57 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $18.62 Typical High $21.88 | Professional | FX · Film X-ray | $14.45 | $18.62 | $21.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | 50 · Both sides | $29.51 | $34.67 | $36.31 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 59 · Distinct service | $27.54 | $28.84 | $28.84 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $48.98 Median $416.87 Typical High $602.56 | Facility | 50 · Both sides | $48.98 | $416.87 | $602.56 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $13.49 Typical High $52.48 | Facility | 52 · Reduced service | $9.55 | $13.49 | $52.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.63 Median $5.37 Typical High $16.60 | Facility | 53 · Discontinued | $3.63 | $5.37 | $16.60 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $13.80 Median $21.88 Typical High $83.18 | Facility | FX · Film X-ray | $13.80 | $21.88 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.48 Typical High $14.45 | Professional | 52 · Reduced service | $9.12 | $11.48 | $14.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.57 Typical High $5.75 | Professional | 53 · Discontinued | $3.63 | $4.57 | $5.75 |
Where Texas sits
The same service costs 3.7 times more in Alaska 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· 47th of 51
$26.92
AK $83.18FL $22.39
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.