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 $93.33 Median $117.49 Typical High $190.55 | Facility | None | $93.33 | $117.49 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $831.76 | Facility | TC · Technical part | $79.43 | $134.90 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $93.33 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $35.48 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $83.18 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $134.90 | $134.90 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $34.67 | $79.43 |
BCBS Texas Setting Facility Modifier None Typical Low $199.53 Median $524.81 Typical High $912.01 | Facility | None | $199.53 | $524.81 | $912.01 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $33.11 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $33.11 | $104.71 | $147.91 |
Baylor Scott & White Setting Facility Modifier None Typical Low $173.78 Median $295.12 Typical High $354.81 | Facility | None | $173.78 | $295.12 | $354.81 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $128.82 | $162.18 | $245.47 |
Christus Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $0.72 Median $0.72 Typical High $39.81 | Professional | 26 · Professional part | $0.72 | $0.72 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $380.19 Typical High $776.25 | Facility | None | $151.36 | $380.19 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $77.62 | $120.23 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $53.70 | $83.18 | $144.54 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $117.49 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $933.25 | $933.25 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | 26 · Professional part | $269.15 | $269.15 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | TC · Technical part | $660.69 | $660.69 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $549.54 Typical High $912.01 | Facility | None | $158.49 | $549.54 | $912.01 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $134.90 Typical High $512.86 | Facility | TC · Technical part | $83.18 | $134.90 | $512.86 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $93.33 | $120.23 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $35.48 | $58.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $83.18 | $131.83 |
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 $44.67 Median $102.33 Typical High $245.47 | Professional | None (both parts) | $44.67 | $102.33 | $245.47 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $338.84 Typical High $776.25 | Facility | None | $114.82 | $338.84 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $77.62 | $120.23 | $218.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $36.31 | $58.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $53.70 | $83.18 | $134.90 |
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 $104.71 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $104.71 | $128.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $38.90 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $89.13 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
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 $46.77 Median $72.44 Typical High $416.87 | Facility | 52 · Reduced service | $46.77 | $72.44 | $416.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $28.84 Typical High $169.82 | Facility | 53 · Discontinued | $18.62 | $28.84 | $169.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $107.15 Typical High $389.05 | Facility | FX · Film X-ray | $74.13 | $107.15 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $58.88 Typical High $70.79 | Professional | 52 · Reduced service | $46.77 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $28.18 | Professional | 53 · Discontinued | $18.62 | $23.99 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $95.50 Typical High $109.65 | Professional | FX · Film X-ray | $75.86 | $95.50 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $66.07 Typical High $204.17 | Facility | 52 · Reduced service | $46.77 | $66.07 | $204.17 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $26.92 Typical High $83.18 | Facility | 53 · Discontinued | $18.62 | $26.92 | $83.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $107.15 Typical High $416.87 | Facility | FX · Film X-ray | $67.61 | $107.15 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $58.88 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $23.99 | $27.54 |
Where Texas sits
The same service costs 3.9 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
$107
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.