How much rates vary
Facilitymedian $389 · 10th to 90th $170 to $871Professionalmedian $98 · 10th to 90th $18 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 $83.18 Median $95.50 Typical High $173.78 | Facility | None | $83.18 | $95.50 | $173.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $724.44 | Facility | TC · Technical part | $69.18 | $114.82 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $83.18 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $31.62 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $57.54 | $72.44 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $34.67 | $61.66 |
BCBS Texas Setting Facility Modifier None Typical Low $194.98 Median $524.81 Typical High $912.01 | Facility | None | $194.98 | $524.81 | $912.01 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $29.51 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $29.51 | $93.33 | $131.83 |
Christus Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $0.71 Median $0.71 Typical High $35.48 | Professional | 26 · Professional part | $0.71 | $0.71 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $331.13 Typical High $776.25 | Facility | None | $131.83 | $331.13 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $69.18 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $46.77 | $72.44 | $125.89 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $107.15 | $158.49 | $158.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,047.13 | Professional | None (both parts) | $812.83 | $812.83 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $239.88 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $575.44 | $575.44 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $537.03 Typical High $870.96 | Facility | None | $138.04 | $537.03 | $870.96 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $125.89 Typical High $776.25 | Facility | TC · Technical part | $72.44 | $125.89 | $776.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $83.18 | $104.71 | $169.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $31.62 | $57.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $57.54 | $72.44 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $15.49 | $83.18 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $39.81 | $112.20 | $223.87 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $295.12 Typical High $776.25 | Facility | None | $102.33 | $295.12 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $69.18 | $104.71 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $32.36 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $46.77 | $72.44 | $117.49 |
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 $91.20 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $91.20 | $112.20 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $36.31 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $77.62 | $117.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $40.74 Median $63.10 Typical High $363.08 | Facility | 52 · Reduced service | $40.74 | $63.10 | $363.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $25.12 Typical High $144.54 | Facility | 53 · Discontinued | $16.22 | $25.12 | $144.54 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $93.33 Typical High $338.84 | Facility | FX · Film X-ray | $64.57 | $93.33 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $41.69 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $16.60 | $20.89 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $85.11 Typical High $95.50 | Professional | FX · Film X-ray | $66.07 | $85.11 | $95.50 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $40.74 Median $57.54 Typical High $177.83 | Facility | 52 · Reduced service | $40.74 | $57.54 | $177.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $23.44 Typical High $72.44 | Facility | 53 · Discontinued | $16.22 | $23.44 | $72.44 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $93.33 Typical High $354.81 | Facility | FX · Film X-ray | $58.88 | $93.33 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $52.48 Typical High $63.10 | Professional | 52 · Reduced service | $41.69 | $52.48 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $25.12 | Professional | 53 · Discontinued | $16.60 | $20.89 | $25.12 |
Where Texas sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$100
AK $363FL $97.72
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.