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 $66.07 Median $87.10 Typical High $87.10 | Facility | None | $66.07 | $87.10 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $630.96 | Facility | TC · Technical part | $64.57 | $107.15 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $66.07 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $16.60 | $21.38 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $63.10 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $24.55 | $40.74 |
BCBS Texas Setting Facility Modifier None Typical Low $36.31 Median $87.10 Typical High $218.78 | Facility | None | $36.31 | $87.10 | $218.78 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.91 Typical High $141.25 | Professional | None (both parts) | $20.89 | $22.91 | $141.25 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $24.55 | Professional | 26 · Professional part | $23.99 | $23.99 | $24.55 |
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 $58.88 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $58.88 | $85.11 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $21.38 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $43.65 | $64.57 | $97.72 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $741.31 | $741.31 | $870.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $602.56 | $660.69 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $100.00 Typical High $213.80 | Facility | None | $24.55 | $100.00 | $213.80 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $102.33 Typical High $363.08 | Facility | TC · Technical part | $64.57 | $102.33 | $363.08 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $93.33 | Professional | None (both parts) | $66.07 | $85.11 | $93.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $16.60 | $21.38 | $32.36 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $63.10 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $100.00 | Professional | None (both parts) | $33.11 | $37.15 | $100.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $158.49 | $158.49 | $169.82 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $120.23 Typical High $251.19 | Facility | None | $24.55 | $120.23 | $251.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $128.82 | Professional | None (both parts) | $58.88 | $85.11 | $128.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.38 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $21.38 | $28.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $63.10 Typical High $89.13 | Professional | TC · Technical part | $43.65 | $63.10 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $107.15 | $128.82 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $20.89 | $25.70 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $87.10 | $102.33 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
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 $53.70 Typical High $316.23 | Facility | 52 · Reduced service | $33.11 | $53.70 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $21.38 Typical High $125.89 | Facility | 53 · Discontinued | $13.18 | $21.38 | $125.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $79.43 Typical High $295.12 | Facility | FX · Film X-ray | $54.95 | $79.43 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $33.11 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $13.18 | $16.98 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $67.61 Typical High $70.79 | Professional | FX · Film X-ray | $52.48 | $67.61 | $70.79 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $50.12 Typical High $154.88 | Facility | 52 · Reduced service | $33.11 | $50.12 | $154.88 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $19.95 Typical High $61.66 | Facility | 53 · Discontinued | $13.18 | $19.95 | $61.66 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $51.29 Median $79.43 Typical High $309.03 | Facility | FX · Film X-ray | $51.29 | $79.43 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $33.11 | $42.66 | $44.67 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $13.18 | $16.98 | $17.78 |
Where Texas sits
The same service costs 4.0 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· 46th of 51
$100
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.