How much rates vary
Facilitymedian $398 · 10th to 90th $110 to $1,905Professionalmedian $107 · 10th to 90th $19 to $347
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 $120.23 Median $512.86 Typical High $1,258.93 | Facility | None | $120.23 | $512.86 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $69.18 | Facility | 26 · Professional part | $38.90 | $48.98 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $831.76 | Facility | TC · Technical part | $83.18 | $134.90 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $323.59 | Professional | None (both parts) | $112.20 | $141.25 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $48.98 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $91.20 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $85.11 | $100.00 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $38.90 | $89.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $56.23 | $56.23 | $66.07 |
BCBS Texas Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $851.14 | Facility | None | $125.89 | $426.58 | $851.14 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $38.02 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $38.02 | $102.33 | $165.96 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $117.49 | $125.89 | $213.80 |
Christus Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $45.71 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $302.00 Typical High $870.96 | Facility | None | $204.17 | $302.00 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $128.82 Typical High $331.13 | Professional | None (both parts) | $74.13 | $128.82 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $43.65 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $239.88 | Professional | TC · Technical part | $47.86 | $87.10 | $239.88 |
Health Smart Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $602.56 | Facility | None | $181.97 | $338.84 | $602.56 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $141.25 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $141.25 | $295.12 | $407.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,412.54 | $1,445.44 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $316.23 | $316.23 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $1,202.26 Typical High $2,511.89 | Facility | None | $141.25 | $1,202.26 | $2,511.89 |
Moda Health Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $69.18 | Facility | 26 · Professional part | $38.90 | $48.98 | $69.18 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $575.44 | Facility | TC · Technical part | $83.18 | $154.88 | $575.44 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $331.13 | Professional | None (both parts) | $112.20 | $141.25 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $48.98 | $83.18 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $91.20 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $15.49 | $85.11 | $134.90 |
Oscar Health Setting Facility Modifier None Typical Low $104.71 Median $407.38 Typical High $407.38 | Facility | None | $104.71 | $407.38 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $104.71 Typical High $239.88 | Professional | None (both parts) | $48.98 | $104.71 | $239.88 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $263.03 Typical High $407.38 | Facility | None | $125.89 | $263.03 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $316.23 | Professional | None (both parts) | $74.13 | $125.89 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $26.92 | $43.65 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $47.86 | $81.28 | $208.93 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $125.89 | $181.97 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $51.29 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $128.82 | $218.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $50.12 Median $79.43 Typical High $446.68 | Facility | 52 · Reduced service | $50.12 | $79.43 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $31.62 Typical High $177.83 | Facility | 53 · Discontinued | $19.95 | $31.62 | $177.83 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $79.43 Median $125.89 Typical High $457.09 | Facility | CT · Older CT scanner | $79.43 | $125.89 | $457.09 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $117.49 Typical High $436.52 | Facility | FX · Film X-ray | $74.13 | $117.49 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $56.23 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $28.18 | $35.48 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $95.50 Median $117.49 Typical High $151.36 | Professional | CT · Older CT scanner | $95.50 | $117.49 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $112.20 Typical High $144.54 | Professional | FX · Film X-ray | $91.20 | $112.20 | $144.54 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $74.13 Typical High $173.78 | Facility | 52 · Reduced service | $46.77 | $74.13 | $173.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $29.51 Typical High $69.18 | Facility | 53 · Discontinued | $18.62 | $29.51 | $69.18 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $79.43 Median $125.89 Typical High $489.78 | Facility | CT · Older CT scanner | $79.43 | $125.89 | $489.78 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $117.49 Typical High $457.09 | Facility | FX · Film X-ray | $74.13 | $117.49 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $56.23 | $69.18 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $27.54 | $35.48 |
Where Texas sits
The same service costs 5.8 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
$110
VT $603UT $105
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.