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 $91.20 Median $117.49 Typical High $190.55 | Facility | None | $91.20 | $117.49 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $954.99 | Facility | TC · Technical part | $95.50 | $165.96 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $91.20 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $24.55 | Professional | 26 · Professional part | $15.14 | $19.50 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $95.50 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
BCBS Texas Setting Facility Modifier None Typical Low $436.52 Median $1,047.13 Typical High $1,698.24 | Facility | None | $436.52 | $1,047.13 | $1,698.24 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $26.30 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $26.30 | $93.33 | $147.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 26 · Professional part | $22.91 | $22.91 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $371.54 Typical High $1,584.89 | Facility | None | $112.20 | $371.54 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $67.61 | $107.15 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $13.80 | $20.42 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $85.11 | $131.83 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $66.07 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $66.07 | $173.78 | $173.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,148.15 | Professional | None (both parts) | $891.25 | $891.25 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $147.91 | $147.91 | $199.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $954.99 | Professional | TC · Technical part | $758.58 | $758.58 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $234.42 | Facility | None | $91.20 | $128.82 | $234.42 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $288.40 | Facility | TC · Technical part | $97.72 | $151.36 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $91.20 | $114.82 | $181.97 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $19.50 | $26.92 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $95.50 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $85.11 Typical High $134.90 | Professional | None (both parts) | $15.49 | $85.11 | $134.90 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $323.59 Typical High $1,584.89 | Facility | None | $81.28 | $323.59 | $1,584.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $67.61 | $107.15 | $181.97 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $13.80 | $19.95 | $31.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $50.12 | $85.11 | $117.49 |
United Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Facility | None | $524.81 | $549.54 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $128.82 Typical High $354.81 | Professional | None (both parts) | $69.18 | $128.82 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $15.49 | $21.88 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $331.13 | Professional | TC · Technical part | $52.48 | $104.71 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
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 $48.98 Median $81.28 Typical High $478.63 | Facility | 52 · Reduced service | $48.98 | $81.28 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $33.11 Typical High $190.55 | Facility | 53 · Discontinued | $19.50 | $33.11 | $190.55 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $77.62 Median $123.03 Typical High $446.68 | Facility | FX · Film X-ray | $77.62 | $123.03 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $45.71 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $18.20 | $22.91 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $93.33 Typical High $109.65 | Professional | FX · Film X-ray | $72.44 | $93.33 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $75.86 Typical High $234.42 | Facility | 52 · Reduced service | $48.98 | $75.86 | $234.42 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $30.20 Typical High $93.33 | Facility | 53 · Discontinued | $19.50 | $30.20 | $93.33 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $77.62 Median $123.03 Typical High $467.74 | Facility | FX · Film X-ray | $77.62 | $123.03 | $467.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $45.71 | $57.54 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $18.20 | $22.91 | $28.84 |
Where Texas sits
The same service costs 4.1 times more in Alaska than in Utah. 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
$102
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.