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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $478.63 Typical High $3,090.30 | Facility | TC · Technical part | $281.84 | $478.63 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $269.15 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $309.03 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
BCBS Texas Setting Facility Modifier None Typical Low $616.60 Median $1,548.82 Typical High $2,884.03 | Facility | None | $616.60 | $1,548.82 | $2,884.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $67.61 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $67.61 | $251.19 | $562.34 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $288.40 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $288.40 | $295.12 | $380.19 |
Christus Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $75.86 | $75.86 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $1,659.59 | Facility | None | $549.54 | $812.83 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $758.58 | Professional | None (both parts) | $173.78 | $309.03 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $229.09 Typical High $630.96 | Professional | TC · Technical part | $128.82 | $229.09 | $630.96 |
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 $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,467.37 | $3,630.78 | $3,630.78 |
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 $3,019.95 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,019.95 | $3,090.30 | $3,090.30 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $741.31 Typical High $2,454.71 | Facility | None | $346.74 | $741.31 | $2,454.71 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $478.63 Typical High $1,230.27 | Facility | TC · Technical part | $281.84 | $478.63 | $1,230.27 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $602.56 | Professional | None (both parts) | $269.15 | $416.87 | $602.56 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $107.15 | $141.25 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $309.03 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $107.15 Typical High $302.00 | Professional | None (both parts) | $20.89 | $107.15 | $302.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $83.18 | $245.47 | $549.54 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $691.83 Typical High $1,000.00 | Facility | None | $302.00 | $691.83 | $1,000.00 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $724.44 | Professional | None (both parts) | $173.78 | $295.12 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $138.04 | Professional | 26 · Professional part | $46.77 | $75.86 | $138.04 |
Providence Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $537.03 | Professional | TC · Technical part | $128.82 | $218.78 | $537.03 |
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 $288.40 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $288.40 | $426.58 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $89.13 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $331.13 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
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 $151.36 Median $239.88 Typical High $1,548.82 | Facility | 52 · Reduced service | $151.36 | $239.88 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $97.72 Typical High $616.60 | Facility | 53 · Discontinued | $60.26 | $97.72 | $616.60 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $239.88 Median $338.84 Typical High $1,174.90 | Facility | FX · Film X-ray | $239.88 | $338.84 | $1,174.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $208.93 Typical High $288.40 | Professional | 52 · Reduced service | $134.90 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $53.70 | $83.18 | $114.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $338.84 Typical High $457.09 | Professional | FX · Film X-ray | $213.80 | $338.84 | $457.09 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $141.25 Median $239.88 Typical High $537.03 | Facility | 52 · Reduced service | $141.25 | $239.88 | $537.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $95.50 Typical High $213.80 | Facility | 53 · Discontinued | $56.23 | $95.50 | $213.80 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $223.87 Median $316.23 Typical High $1,230.27 | Facility | FX · Film X-ray | $223.87 | $316.23 | $1,230.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $208.93 Typical High $288.40 | Professional | 52 · Reduced service | $134.90 | $208.93 | $288.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $53.70 | $83.18 | $114.82 |
Where Texas sits
The same service costs 5.6 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
$229
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.