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 $363.08 Median $891.25 Typical High $1,819.70 | Facility | None | $363.08 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $2,570.40 | Facility | TC · Technical part | $239.88 | $407.38 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $549.54 | Professional | None (both parts) | $229.09 | $363.08 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $100.00 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $263.03 | $363.08 |
BCBS Texas Setting Facility Modifier None Typical Low $588.84 Median $1,479.11 Typical High $2,884.03 | Facility | None | $588.84 | $1,479.11 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $63.10 Median $204.17 Typical High $489.78 | Professional | None (both parts) | $63.10 | $204.17 | $489.78 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 26 · Professional part | $72.44 | $72.44 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,659.59 | Facility | None | $457.09 | $676.08 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $269.15 Typical High $724.44 | Professional | None (both parts) | $151.36 | $269.15 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $70.79 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $562.34 | Professional | TC · Technical part | $107.15 | $194.98 | $562.34 |
Health Smart Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $616.60 | Facility | None | $602.56 | $602.56 | $616.60 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $676.08 | Professional | None (both parts) | $537.03 | $602.56 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $676.08 Typical High $1,122.02 | Facility | None | $275.42 | $676.08 | $1,122.02 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $407.38 Typical High $912.01 | Facility | TC · Technical part | $251.19 | $407.38 | $912.01 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $229.09 | $363.08 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $100.00 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $263.03 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $263.03 | Professional | None (both parts) | $20.89 | $107.15 | $263.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $208.93 Typical High $478.63 | Professional | None (both parts) | $77.62 | $208.93 | $478.63 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $645.65 Typical High $977.24 | Facility | None | $251.19 | $645.65 | $977.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $691.83 | Professional | None (both parts) | $151.36 | $257.04 | $691.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $70.79 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $186.21 Typical High $501.19 | Professional | TC · Technical part | $107.15 | $186.21 | $501.19 |
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 $245.47 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $245.47 | $371.54 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $288.40 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
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 $125.89 Median $204.17 Typical High $1,288.25 | Facility | 52 · Reduced service | $125.89 | $204.17 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $81.28 Typical High $512.86 | Facility | 53 · Discontinued | $50.12 | $81.28 | $512.86 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $316.23 Typical High $1,000.00 | Facility | FX · Film X-ray | $204.17 | $316.23 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $114.82 | $181.97 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $46.77 | $72.44 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $288.40 Typical High $398.11 | Professional | FX · Film X-ray | $186.21 | $288.40 | $398.11 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $120.23 Median $204.17 Typical High $457.09 | Facility | 52 · Reduced service | $120.23 | $204.17 | $457.09 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $81.28 Typical High $181.97 | Facility | 53 · Discontinued | $47.86 | $81.28 | $181.97 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $269.15 Typical High $1,047.13 | Facility | FX · Film X-ray | $190.55 | $269.15 | $1,047.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $181.97 Typical High $251.19 | Professional | 52 · Reduced service | $114.82 | $181.97 | $251.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $46.77 | $72.44 | $100.00 |
Where Texas sits
The same service costs 5.5 times more in Wyoming 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
$191
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.