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 $64.57 Median $83.18 Typical High $128.82 | Facility | None | $64.57 | $83.18 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $676.08 | Facility | TC · Technical part | $69.18 | $114.82 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $64.57 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $18.20 | Professional | 26 · Professional part | $11.22 | $14.45 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $53.70 | $66.07 | $79.43 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $14.45 Median $17.38 Typical High $85.11 | Professional | None (both parts) | $14.45 | $17.38 | $85.11 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | 26 · Professional part | $16.60 | $16.60 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $316.23 Typical High $1,023.29 | Facility | None | $134.90 | $316.23 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $53.70 | $83.18 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.49 Typical High $31.62 | Professional | 26 · Professional part | $10.23 | $15.49 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $43.65 | $67.61 | $112.20 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $83.18 | $128.82 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None (both parts) | $645.65 | $645.65 | $870.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $117.49 | $147.91 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | TC · Technical part | $524.81 | $524.81 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $128.82 | Facility | None | $75.86 | $100.00 | $128.82 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $331.13 | Facility | TC · Technical part | $69.18 | $107.15 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $64.57 | $81.28 | $109.65 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $11.22 | $14.45 | $20.89 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $53.70 | $66.07 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.96 Median $64.57 Typical High $102.33 | Professional | None (both parts) | $10.96 | $64.57 | $102.33 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $275.42 Typical High $1,023.29 | Facility | None | $83.18 | $275.42 | $1,023.29 |
Providence Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $53.70 | $83.18 | $141.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.49 Typical High $28.18 | Professional | 26 · Professional part | $10.23 | $15.49 | $28.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $64.57 | $102.33 |
United Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $501.19 | Facility | None | $363.08 | $380.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $67.61 | $83.18 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $28.18 | Professional | 26 · Professional part | $14.13 | $17.78 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $53.70 | $67.61 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $34.67 Median $57.54 Typical High $338.84 | Facility | 52 · Reduced service | $34.67 | $57.54 | $338.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $22.91 Typical High $134.90 | Facility | 53 · Discontinued | $13.80 | $22.91 | $134.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $60.26 Median $85.11 Typical High $316.23 | Facility | FX · Film X-ray | $60.26 | $85.11 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | 52 · Reduced service | $32.36 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $19.50 | Professional | 53 · Discontinued | $12.88 | $16.22 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $66.07 Typical High $75.86 | Professional | FX · Film X-ray | $52.48 | $66.07 | $75.86 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $34.67 Median $53.70 Typical High $165.96 | Facility | 52 · Reduced service | $34.67 | $53.70 | $165.96 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $21.38 Typical High $66.07 | Facility | 53 · Discontinued | $13.80 | $21.38 | $66.07 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $85.11 Typical High $331.13 | Facility | FX · Film X-ray | $54.95 | $85.11 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $40.74 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $40.74 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $19.05 | Professional | 53 · Discontinued | $12.88 | $16.22 | $19.05 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$75.86
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.