How much rates vary
Facilitymedian $214 · 10th to 90th $102 to $537Professionalmedian $37 · 10th to 90th $7 to $324
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 $32.36 Median $41.69 Typical High $54.95 | Facility | None | $32.36 | $41.69 | $54.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $15.49 | Facility | 26 · Professional part | $9.33 | $12.59 | $15.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $45.71 Typical High $213.80 | Facility | TC · Technical part | $26.92 | $45.71 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $69.18 | Professional | None (both parts) | $32.36 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $9.77 | $12.59 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $28.84 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $41.69 | Professional | None (both parts) | $32.36 | $40.74 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $28.84 | Professional | 26 · Professional part | $11.75 | $12.59 | $28.84 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
BCBS Texas Setting Facility Modifier None Typical Low $117.49 Median $302.00 Typical High $602.56 | Facility | None | $117.49 | $302.00 | $602.56 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $12.02 Median $38.90 Typical High $52.48 | Professional | None (both parts) | $12.02 | $38.90 | $52.48 |
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 $14.79 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $14.79 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $467.74 | Facility | None | $64.57 | $144.54 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $28.84 | $43.65 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.18 Typical High $26.30 | Professional | 26 · Professional part | $8.91 | $13.18 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $30.20 | $52.48 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $46.77 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $46.77 | $64.57 | $64.57 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $323.59 | $323.59 | $426.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $251.19 | $251.19 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $50.12 Median $371.54 Typical High $676.08 | Facility | None | $50.12 | $371.54 | $676.08 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $50.12 Typical High $331.13 | Facility | TC · Technical part | $26.92 | $50.12 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $32.36 | $41.69 | $70.79 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $23.44 | Professional | 26 · Professional part | $9.77 | $12.59 | $23.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $28.84 | $50.12 |
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 Professional Modifier None (both parts) Typical Low $15.85 Median $38.90 Typical High $91.20 | Professional | None (both parts) | $15.85 | $38.90 | $91.20 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $123.03 Typical High $467.74 | Facility | None | $41.69 | $123.03 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $28.84 | $43.65 | $81.28 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.18 Typical High $24.55 | Professional | 26 · Professional part | $8.91 | $13.18 | $24.55 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $29.51 | $47.86 |
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 $37.15 Median $46.77 Typical High $69.18 | Professional | None (both parts) | $37.15 | $46.77 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $15.49 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $31.62 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $15.14 | $15.14 | $15.14 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
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 $16.22 Median $24.55 Typical High $144.54 | Facility | 52 · Reduced service | $16.22 | $24.55 | $144.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $9.77 Typical High $57.54 | Facility | 53 · Discontinued | $6.46 | $9.77 | $57.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.70 Median $36.31 Typical High $134.90 | Facility | FX · Film X-ray | $25.70 | $36.31 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $20.42 Typical High $25.70 | Professional | 52 · Reduced service | $16.22 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $6.46 | $8.13 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $33.11 Typical High $38.90 | Professional | FX · Film X-ray | $26.30 | $33.11 | $38.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $22.91 Typical High $70.79 | Facility | 52 · Reduced service | $15.85 | $22.91 | $70.79 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $6.31 Median $9.12 Typical High $28.18 | Facility | 53 · Discontinued | $6.31 | $9.12 | $28.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $23.44 Median $36.31 Typical High $141.25 | Facility | FX · Film X-ray | $23.44 | $36.31 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $20.42 Typical High $25.12 | Professional | 52 · Reduced service | $16.22 | $20.42 | $25.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $6.46 | $8.13 | $10.23 |
Where Texas sits
The same service costs 4.5 times more in Alaska 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· 48th of 51
$38.90
AK $148UT $33.11
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.