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 $85.11 Median $112.20 Typical High $112.20 | Facility | None | $85.11 | $112.20 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $794.33 | Facility | TC · Technical part | $81.28 | $134.90 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $123.03 | Professional | None (both parts) | $85.11 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $30.20 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $79.43 | $91.20 |
BCBS Texas Setting Facility Modifier None Typical Low $53.70 Median $128.82 Typical High $295.12 | Facility | None | $53.70 | $128.82 | $295.12 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 26 · Professional part | $33.88 | $33.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $251.19 Typical High $323.59 | Facility | None | $112.20 | $251.19 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $77.62 | $114.82 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $30.90 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $81.28 | $120.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $851.14 | $851.14 | $1,122.02 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 26 · Professional part | $288.40 | $288.40 | $295.12 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $630.96 | $851.14 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $117.49 Typical High $229.09 | Facility | None | $34.67 | $117.49 | $229.09 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $389.05 | Facility | TC · Technical part | $81.28 | $125.89 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $85.11 | $109.65 | $117.49 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $23.44 | $30.20 | $42.66 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $79.43 | $85.11 |
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 $173.78 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $173.78 | $173.78 | $186.21 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $141.25 Typical High $251.19 | Facility | None | $34.67 | $141.25 | $251.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $77.62 | $112.20 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $30.90 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $81.28 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $114.82 | $138.04 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $36.31 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $102.33 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
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 $42.66 Median $67.61 Typical High $398.11 | Facility | 52 · Reduced service | $42.66 | $67.61 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $26.92 Typical High $162.18 | Facility | 53 · Discontinued | $17.38 | $26.92 | $162.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $100.00 Typical High $371.54 | Facility | FX · Film X-ray | $70.79 | $100.00 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $42.66 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $17.38 | $21.88 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $87.10 Typical High $93.33 | Professional | FX · Film X-ray | $69.18 | $87.10 | $93.33 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $42.66 Median $63.10 Typical High $194.98 | Facility | 52 · Reduced service | $42.66 | $63.10 | $194.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $17.38 Median $25.12 Typical High $77.62 | Facility | 53 · Discontinued | $17.38 | $25.12 | $77.62 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $100.00 Typical High $389.05 | Facility | FX · Film X-ray | $64.57 | $100.00 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $42.66 | $54.95 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $17.38 | $21.88 | $23.44 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 39th of 51
$135
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.