How much rates vary
Facilitymedian $1,175 · 10th to 90th $141 to $2,188Professionalmedian $407 · 10th to 90th $26 to $1,380
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 $288.40 Median $371.54 Typical High $407.38 | Facility | None | $288.40 | $371.54 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $676.08 Typical High $3,981.07 | Facility | TC · Technical part | $398.11 | $676.08 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $316.23 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $22.39 | Professional | 26 · Professional part | $14.13 | $18.62 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $389.05 | $524.81 |
BCBS Texas Setting Facility Modifier None Typical Low $575.44 Median $1,445.44 Typical High $2,344.23 | Facility | None | $575.44 | $1,445.44 | $2,344.23 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $17.78 Median $77.62 Typical High $537.03 | Professional | None (both parts) | $17.78 | $77.62 | $537.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $21.38 | Professional | 26 · Professional part | $20.42 | $20.42 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $269.15 Typical High $2,187.76 | Facility | None | $79.43 | $269.15 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $31.62 | $47.86 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $39.81 | Professional | 26 · Professional part | $12.59 | $19.05 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.84 Typical High $61.66 | Professional | TC · Technical part | $18.62 | $28.84 | $61.66 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $933.25 | $1,380.38 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $181.97 | Professional | 26 · Professional part | $141.25 | $141.25 | $181.97 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $1,288.25 | Professional | TC · Technical part | $912.01 | $912.01 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $21.88 Median $371.54 Typical High $562.34 | Facility | None | $21.88 | $371.54 | $562.34 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $630.96 Typical High $1,949.84 | Facility | TC · Technical part | $398.11 | $630.96 | $1,949.84 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $316.23 | $398.11 | $489.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $26.30 | Professional | 26 · Professional part | $14.13 | $18.62 | $26.30 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $478.63 | Professional | TC · Technical part | $316.23 | $389.05 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $50.12 Typical High $67.61 | Professional | None (both parts) | $17.38 | $50.12 | $67.61 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $48.98 Typical High $141.25 | Professional | None (both parts) | $22.39 | $48.98 | $141.25 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $186.21 Typical High $2,187.76 | Facility | None | $53.70 | $186.21 | $2,187.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $31.62 Median $46.77 Typical High $93.33 | Professional | None (both parts) | $31.62 | $46.77 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $19.05 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $18.62 | $28.18 | $54.95 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $457.09 Typical High $660.69 | Professional | None (both parts) | $74.13 | $457.09 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $22.91 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $51.29 | $436.52 | $630.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
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 $199.53 Median $338.84 Typical High $1,995.26 | Facility | 52 · Reduced service | $199.53 | $338.84 | $1,995.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $134.90 Typical High $794.33 | Facility | 53 · Discontinued | $79.43 | $134.90 | $794.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $323.59 Median $501.19 Typical High $1,862.09 | Facility | FX · Film X-ray | $323.59 | $501.19 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $199.53 Typical High $263.03 | Professional | 52 · Reduced service | $158.49 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | 53 · Discontinued | $63.10 | $79.43 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $323.59 Typical High $389.05 | Professional | FX · Film X-ray | $251.19 | $323.59 | $389.05 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $199.53 Median $316.23 Typical High $977.24 | Facility | 52 · Reduced service | $199.53 | $316.23 | $977.24 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $79.43 Median $125.89 Typical High $389.05 | Facility | 53 · Discontinued | $79.43 | $125.89 | $389.05 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $323.59 Median $501.19 Typical High $1,949.84 | Facility | FX · Film X-ray | $323.59 | $501.19 | $1,949.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $158.49 | $199.53 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $63.10 | $79.43 | $97.72 |
Where Texas sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 11th of 51
$447
CO $661MI $58.88
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.