How much rates vary
Facilitymedian $355 · 10th to 90th $155 to $776Professionalmedian $72 · 10th to 90th $13 to $245
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 $60.26 Median $85.11 Typical High $134.90 | Facility | None | $60.26 | $85.11 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $446.68 | Facility | TC · Technical part | $56.23 | $95.50 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $66.07 | $83.18 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $18.20 | $23.44 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $60.26 | $95.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $83.18 | $128.82 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $27.54 | $53.70 |
BCBS Texas Setting Facility Modifier None Typical Low $190.55 Median $524.81 Typical High $912.01 | Facility | None | $190.55 | $524.81 | $912.01 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $24.55 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $24.55 | $72.44 | $109.65 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | None (both parts) | $91.20 | $93.33 | $102.33 |
Christus Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | 26 · Professional part | $25.70 | $25.70 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $281.84 Typical High $776.25 | Facility | None | $109.65 | $281.84 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $54.95 | $83.18 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $24.55 Typical High $42.66 | Professional | 26 · Professional part | $16.22 | $24.55 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $104.71 | Professional | TC · Technical part | $38.02 | $58.88 | $104.71 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $87.10 | $123.03 | $123.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $645.65 | $645.65 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $181.97 | $181.97 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | TC · Technical part | $467.74 | $467.74 | $575.44 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $380.19 Typical High $707.95 | Facility | None | $120.23 | $380.19 | $707.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $158.49 Typical High $741.31 | Facility | TC · Technical part | $56.23 | $158.49 | $741.31 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $66.07 | $83.18 | $141.25 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $23.99 | $44.67 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $47.86 | $60.26 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $10.23 | $56.23 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $29.51 Median $74.13 Typical High $169.82 | Professional | None (both parts) | $29.51 | $74.13 | $169.82 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $245.47 Typical High $776.25 | Facility | None | $85.11 | $245.47 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $154.88 | Professional | None (both parts) | $54.95 | $83.18 | $154.88 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $23.99 | $39.81 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $58.88 Typical High $97.72 | Professional | TC · Technical part | $38.02 | $58.88 | $97.72 |
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 $74.13 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $74.13 | $89.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $27.54 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $63.10 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $33.11 Median $51.29 Typical High $302.00 | Facility | 52 · Reduced service | $33.11 | $51.29 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $120.23 | Facility | 53 · Discontinued | $13.18 | $20.42 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $75.86 Typical High $281.84 | Facility | FX · Film X-ray | $53.70 | $75.86 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $41.69 Typical High $50.12 | Professional | 52 · Reduced service | $33.11 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $16.60 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $67.61 Typical High $77.62 | Professional | FX · Film X-ray | $52.48 | $67.61 | $77.62 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $47.86 Typical High $147.91 | Facility | 52 · Reduced service | $33.11 | $47.86 | $147.91 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $19.05 Typical High $58.88 | Facility | 53 · Discontinued | $13.18 | $19.05 | $58.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $75.86 Typical High $295.12 | Facility | FX · Film X-ray | $48.98 | $75.86 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $41.69 Typical High $50.12 | Professional | 52 · Reduced service | $33.11 | $41.69 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.60 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $16.60 | $19.95 |
Where Texas sits
The same service costs 3.8 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· 49th of 51
$77.62
AK $282UT $74.13
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.