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 $18.62 Median $23.99 Typical High $23.99 | Facility | None | $18.62 | $23.99 | $23.99 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $25.70 Typical High $154.88 | Facility | TC · Technical part | $15.49 | $25.70 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $29.51 | Professional | None (both parts) | $18.62 | $23.44 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $10.23 | Professional | 26 · Professional part | $6.46 | $8.51 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.14 Typical High $19.05 | Professional | TC · Technical part | $12.02 | $15.14 | $19.05 |
BCBS Texas Setting Facility Modifier None Typical Low $14.13 Median $33.88 Typical High $97.72 | Facility | None | $14.13 | $33.88 | $97.72 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $8.32 Median $9.77 Typical High $26.30 | Professional | None (both parts) | $8.32 | $9.77 | $26.30 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $323.59 | Facility | None | $107.15 | $251.19 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $24.55 Typical High $48.98 | Professional | None (both parts) | $16.60 | $24.55 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $17.78 | Professional | 26 · Professional part | $5.75 | $8.51 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $15.85 Typical High $31.62 | Professional | TC · Technical part | $10.72 | $15.85 | $31.62 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $131.83 | $131.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $9.33 Median $23.99 Typical High $51.29 | Facility | None | $9.33 | $23.99 | $51.29 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $74.13 | Facility | TC · Technical part | $15.49 | $23.99 | $74.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $28.84 | Professional | None (both parts) | $18.62 | $23.44 | $28.84 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $6.46 | $8.51 | $11.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.14 Typical High $18.62 | Professional | TC · Technical part | $12.02 | $15.14 | $18.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.41 Median $13.18 Typical High $21.88 | Professional | None (both parts) | $7.41 | $13.18 | $21.88 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $323.59 | Facility | None | $18.62 | $33.88 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $16.60 Median $24.55 Typical High $46.77 | Professional | None (both parts) | $16.60 | $24.55 | $46.77 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $8.51 Typical High $16.22 | Professional | 26 · Professional part | $5.75 | $8.51 | $16.22 |
Providence Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $15.85 Typical High $29.51 | Professional | TC · Technical part | $10.72 | $15.85 | $29.51 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $39.81 | $51.29 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $10.23 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $40.74 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
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 $8.71 Median $12.88 Typical High $77.62 | Facility | 52 · Reduced service | $8.71 | $12.88 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.47 Median $5.25 Typical High $30.90 | Facility | 53 · Discontinued | $3.47 | $5.25 | $30.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $13.49 Median $19.05 Typical High $70.79 | Facility | FX · Film X-ray | $13.49 | $19.05 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $11.75 Typical High $14.79 | Professional | 52 · Reduced service | $9.33 | $11.75 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.68 Typical High $5.89 | Professional | 53 · Discontinued | $3.72 | $4.68 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | FX · Film X-ray | $14.79 | $19.05 | $22.39 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $8.32 Median $12.02 Typical High $37.15 | Facility | 52 · Reduced service | $8.32 | $12.02 | $37.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $3.39 Median $4.90 Typical High $14.79 | Facility | 53 · Discontinued | $3.39 | $4.90 | $14.79 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $12.59 Median $19.05 Typical High $74.13 | Facility | FX · Film X-ray | $12.59 | $19.05 | $74.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $11.75 Typical High $14.45 | Professional | 52 · Reduced service | $9.33 | $11.75 | $14.45 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $3.72 | $4.68 | $5.75 |
Where Texas sits
The same service costs 4.7 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· 43rd of 51
$32.36
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.