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 $257.04 Median $602.56 Typical High $1,288.25 | Facility | None | $257.04 | $602.56 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $1,737.80 | Facility | TC · Technical part | $173.78 | $302.00 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $218.78 | $275.42 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $87.10 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $186.21 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $177.83 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $194.98 | Professional | 26 · Professional part | $66.07 | $69.18 | $194.98 |
BCBS Texas Setting Facility Modifier None Typical Low $245.47 Median $707.95 Typical High $1,445.44 | Facility | None | $245.47 | $707.95 | $1,445.44 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $69.18 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $69.18 | $208.93 | $331.13 |
Christus Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $81.28 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $933.25 | Facility | None | $426.58 | $758.58 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $616.60 | Professional | None (both parts) | $177.83 | $295.12 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $48.98 | $79.43 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $125.89 | $218.78 | $478.63 |
Health Smart Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $457.09 | Professional | None (both parts) | $371.54 | $416.87 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $2,691.53 | $2,691.53 | $2,691.53 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,174.90 Typical High $3,801.89 | Facility | None | $346.74 | $1,174.90 | $3,801.89 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $1,148.15 | Facility | TC · Technical part | $177.83 | $302.00 | $1,148.15 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $218.78 | $275.42 | $501.19 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $89.13 | $125.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $151.36 | $186.21 | $338.84 |
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 $85.11 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $85.11 | $223.87 | $549.54 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $575.44 Typical High $912.01 | Facility | None | $251.19 | $575.44 | $912.01 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $177.83 | $295.12 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $79.43 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $204.17 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $204.17 | $426.58 |
United Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $363.08 | Facility | None | $263.03 | $275.42 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $251.19 | $338.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $93.33 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $239.88 | $467.74 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
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 $102.33 Median $162.18 Typical High $912.01 | Facility | 52 · Reduced service | $102.33 | $162.18 | $912.01 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $363.08 | Facility | 53 · Discontinued | $40.74 | $64.57 | $363.08 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $257.04 Typical High $933.25 | Facility | CT · Older CT scanner | $158.49 | $257.04 | $933.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $870.96 | Facility | FX · Film X-ray | $151.36 | $239.88 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $134.90 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $54.95 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $186.21 Median $229.09 Typical High $295.12 | Professional | CT · Older CT scanner | $186.21 | $229.09 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $218.78 Typical High $275.42 | Professional | FX · Film X-ray | $177.83 | $218.78 | $275.42 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $151.36 Typical High $346.74 | Facility | 52 · Reduced service | $93.33 | $151.36 | $346.74 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $38.02 Median $60.26 Typical High $141.25 | Facility | 53 · Discontinued | $38.02 | $60.26 | $141.25 |
Moda Health Setting Facility Modifier CT · Older CT scanner Typical Low $158.49 Median $257.04 Typical High $977.24 | Facility | CT · Older CT scanner | $158.49 | $257.04 | $977.24 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $151.36 Median $239.88 Typical High $933.25 | Facility | FX · Film X-ray | $151.36 | $239.88 | $933.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $131.83 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $52.48 | $69.18 |
Where Texas sits
The same service costs 6.0 times more in Alaska 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
$170
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.