How much rates vary
Facilitymedian $741 · 10th to 90th $229 to $2,291Professionalmedian $129 · 10th to 90th $22 to $363
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 $213.80 Median $812.83 Typical High $1,819.70 | Facility | None | $213.80 | $812.83 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $251.19 Typical High $1,513.56 | Facility | TC · Technical part | $141.25 | $251.19 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $169.82 | $269.15 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $89.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $177.83 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $128.82 | $147.91 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $54.95 | $128.82 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $891.25 Typical High $1,737.80 | Facility | None | $257.04 | $891.25 | $1,737.80 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $53.70 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $53.70 | $154.88 | $245.47 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $186.21 | $194.98 | $288.40 |
Christus Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $66.07 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $1,023.29 | Facility | None | $338.84 | $489.78 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $588.84 | Professional | None (both parts) | $112.20 | $199.53 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $39.81 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $457.09 | Professional | TC · Technical part | $74.13 | $131.83 | $457.09 |
Health Smart Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | None (both parts) | $467.74 | $524.81 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $2,884.03 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $1,584.89 Typical High $2,754.23 | Facility | None | $316.23 | $1,584.89 | $2,754.23 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $144.54 | $407.38 | $977.24 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $169.82 | $269.15 | $537.03 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $89.13 | $147.91 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $177.83 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $14.45 | $70.79 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $147.91 Typical High $354.81 | Professional | None (both parts) | $69.18 | $147.91 | $354.81 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $524.81 Typical High $831.76 | Facility | None | $194.98 | $524.81 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $549.54 | Professional | None (both parts) | $112.20 | $190.55 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $39.81 | $64.57 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $398.11 | Professional | TC · Technical part | $74.13 | $125.89 | $398.11 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $181.97 | $295.12 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $74.13 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $213.80 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
12 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 $85.11 Median $154.88 Typical High $891.25 | Facility | 52 · Reduced service | $85.11 | $154.88 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $61.66 Typical High $354.81 | Facility | 53 · Discontinued | $34.67 | $61.66 | $354.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $213.80 Typical High $676.08 | Facility | FX · Film X-ray | $138.04 | $213.80 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $33.88 | $53.70 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | FX · Film X-ray | $138.04 | $213.80 | $302.00 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 59 · Distinct service | $154.88 | $154.88 | $154.88 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $85.11 Median $138.04 Typical High $309.03 | Facility | 52 · Reduced service | $85.11 | $138.04 | $309.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $54.95 Typical High $123.03 | Facility | 53 · Discontinued | $33.88 | $54.95 | $123.03 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $181.97 Typical High $707.95 | Facility | FX · Film X-ray | $128.82 | $181.97 | $707.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $134.90 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $53.70 | $74.13 |
Where Texas sits
The same service costs 6.6 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· 50th of 51
$132
AK $813UT $123
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.