How much rates vary
Facilitymedian $1,122 · 10th to 90th $676 to $3,631Professionalmedian $224 · 10th to 90th $37 to $501
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 $436.52 Median $891.25 Typical High $1,819.70 | Facility | None | $436.52 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $3,311.31 | Facility | TC · Technical part | $302.00 | $512.86 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $281.84 | $436.52 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $100.00 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $316.23 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $323.59 | $398.11 | $602.56 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $74.13 | $128.82 |
BCBS Texas Setting Facility Modifier None Typical Low $741.31 Median $2,570.40 Typical High $4,677.35 | Facility | None | $741.31 | $2,570.40 | $4,677.35 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $60.26 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $60.26 | $245.47 | $371.54 |
Baylor Scott & White Setting Facility Modifier None Typical Low $645.65 Median $977.24 Typical High $1,412.54 | Facility | None | $645.65 | $977.24 | $1,412.54 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $302.00 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $302.00 | $309.03 | $363.08 |
Christus Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $74.13 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,737.80 | Facility | None | $588.84 | $851.14 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $177.83 | $302.00 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $138.04 | Professional | 26 · Professional part | $43.65 | $72.44 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $134.90 | $234.42 | $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 $616.60 Median $616.60 Typical High $630.96 | Professional | 26 · Professional part | $616.60 | $616.60 | $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 $371.54 Median $977.24 Typical High $2,884.03 | Facility | None | $371.54 | $977.24 | $2,884.03 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $812.83 Typical High $5,495.41 | Facility | TC · Technical part | $302.00 | $812.83 | $5,495.41 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $281.84 | $436.52 | $660.69 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $100.00 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $213.80 | $316.23 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $331.13 | Professional | None (both parts) | $20.89 | $107.15 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $269.15 Typical High $575.44 | Professional | None (both parts) | $79.43 | $269.15 | $575.44 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $676.08 Typical High $1,023.29 | Facility | None | $316.23 | $676.08 | $1,023.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $724.44 | Professional | None (both parts) | $177.83 | $302.00 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $43.65 | $72.44 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $134.90 | $234.42 | $501.19 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,621.81 | Facility | None | $1,174.90 | $1,230.27 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $295.12 | $389.05 | $794.33 |
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 $223.87 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $223.87 | $302.00 | $645.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
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 $162.18 Median $263.03 Typical High $1,659.59 | Facility | 52 · Reduced service | $162.18 | $263.03 | $1,659.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $104.71 Typical High $660.69 | Facility | 53 · Discontinued | $64.57 | $104.71 | $660.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $346.74 Typical High $1,258.93 | Facility | FX · Film X-ray | $257.04 | $346.74 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $56.23 | $85.11 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $346.74 Typical High $478.63 | Professional | FX · Film X-ray | $223.87 | $346.74 | $478.63 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $151.36 Median $257.04 Typical High $575.44 | Facility | 52 · Reduced service | $151.36 | $257.04 | $575.44 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $102.33 Typical High $229.09 | Facility | 53 · Discontinued | $60.26 | $102.33 | $229.09 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $245.47 Median $346.74 Typical High $1,318.26 | Facility | FX · Film X-ray | $245.47 | $346.74 | $1,318.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $213.80 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $56.23 | $85.11 | $120.23 |
Where Texas sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 51st of 51
$234
WY $1,259TX $234
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.