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 $35.48 Median $48.98 Typical High $54.95 | Facility | None | $35.48 | $48.98 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $346.74 | Facility | TC · Technical part | $35.48 | $58.88 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $41.69 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $19.05 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $34.67 Typical High $43.65 | Professional | TC · Technical part | $26.92 | $34.67 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
BCBS Texas Setting Facility Modifier None Typical Low $21.88 Median $77.62 Typical High $190.55 | Facility | None | $21.88 | $77.62 | $190.55 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.42 Typical High $95.50 | Professional | None (both parts) | $19.05 | $20.42 | $95.50 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $21.88 | $23.99 |
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 $38.02 Median $56.23 Typical High $117.49 | Professional | None (both parts) | $38.02 | $56.23 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $38.02 | Professional | 26 · Professional part | $13.18 | $19.95 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $24.55 | $36.31 | $69.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $23.99 Median $54.95 Typical High $213.80 | Facility | None | $23.99 | $54.95 | $213.80 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $165.96 | Facility | TC · Technical part | $35.48 | $54.95 | $165.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $41.69 | $52.48 | $61.66 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $19.05 | $31.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.88 Typical High $38.90 | Professional | TC · Technical part | $26.92 | $33.88 | $38.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.62 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $18.62 | $93.33 | $114.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $194.98 | $194.98 | $208.93 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $75.86 Typical High $263.03 | Facility | None | $23.99 | $75.86 | $263.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.02 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $38.02 | $56.23 | $102.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $13.18 | $19.95 | $34.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $24.55 | $36.31 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $131.83 | $158.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $33.11 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $125.89 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
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 $19.50 Median $29.51 Typical High $173.78 | Facility | 52 · Reduced service | $19.50 | $29.51 | $173.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.76 Median $11.75 Typical High $69.18 | Facility | 53 · Discontinued | $7.76 | $11.75 | $69.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $30.20 Median $43.65 Typical High $158.49 | Facility | FX · Film X-ray | $30.20 | $43.65 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $26.92 Typical High $32.36 | Professional | 52 · Reduced service | $20.89 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $8.32 | $10.72 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $42.66 Typical High $46.77 | Professional | FX · Film X-ray | $33.11 | $42.66 | $46.77 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $19.05 Median $27.54 Typical High $83.18 | Facility | 52 · Reduced service | $19.05 | $27.54 | $83.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.59 Median $10.96 Typical High $33.88 | Facility | 53 · Discontinued | $7.59 | $10.96 | $33.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $28.18 Median $43.65 Typical High $165.96 | Facility | FX · Film X-ray | $28.18 | $43.65 | $165.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $26.92 Typical High $30.20 | Professional | 52 · Reduced service | $20.89 | $26.92 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.72 Typical High $11.75 | Professional | 53 · Discontinued | $8.32 | $10.72 | $11.75 |
Where Texas sits
The same service costs 6.6 times more in Nebraska 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· 48th of 51
$81.28
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.