How much rates vary
Facilitymedian $135 · 10th to 90th $55 to $398Professionalmedian $112 · 10th to 90th $40 to $1,622
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 $75.86 Median $97.72 Typical High $97.72 | Facility | None | $75.86 | $97.72 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $107.15 Typical High $630.96 | Facility | TC · Technical part | $63.10 | $107.15 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $75.86 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $34.67 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $70.79 | Professional | TC · Technical part | $48.98 | $61.66 | $70.79 |
BCBS Texas Setting Facility Modifier None Typical Low $57.54 Median $138.04 Typical High $398.11 | Facility | None | $57.54 | $138.04 | $398.11 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $128.82 | Professional | None (both parts) | $29.51 | $39.81 | $128.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $37.15 | $37.15 | $38.02 |
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 $64.57 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $64.57 | $100.00 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $35.48 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $41.69 | $64.57 | $95.50 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $416.87 | $794.33 | $794.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $295.12 | Facility | None | $38.02 | $97.72 | $295.12 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $302.00 | Facility | TC · Technical part | $63.10 | $97.72 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $75.86 | $97.72 | $102.33 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $34.67 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $66.07 | Professional | TC · Technical part | $48.98 | $61.66 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $79.43 | Professional | None (both parts) | $33.88 | $37.15 | $79.43 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $346.74 | $346.74 | $371.54 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $128.82 Typical High $323.59 | Facility | None | $38.02 | $128.82 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $64.57 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $64.57 | $100.00 | $144.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $35.48 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $64.57 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $162.18 | $251.19 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $41.69 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $213.80 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 $35.48 Median $52.48 Typical High $316.23 | Facility | 52 · Reduced service | $35.48 | $52.48 | $316.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $21.38 Typical High $125.89 | Facility | 53 · Discontinued | $14.13 | $21.38 | $125.89 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $79.43 Typical High $288.40 | Facility | FX · Film X-ray | $54.95 | $79.43 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $15.14 | $19.50 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $77.62 Typical High $81.28 | Professional | FX · Film X-ray | $60.26 | $77.62 | $81.28 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $34.67 Median $48.98 Typical High $151.36 | Facility | 52 · Reduced service | $34.67 | $48.98 | $151.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $19.95 Typical High $60.26 | Facility | 53 · Discontinued | $13.80 | $19.95 | $60.26 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $51.29 Median $77.62 Typical High $302.00 | Facility | FX · Film X-ray | $51.29 | $77.62 | $302.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $48.98 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.50 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $19.50 | $20.42 |
Where Texas sits
The same service costs 5.2 times more in North Dakota 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· 49th of 51
$115
ND $457FL $87.10
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.