How much rates vary
Facilitymedian $407 · 10th to 90th $155 to $1,023Professionalmedian $91 · 10th to 90th $16 to $692
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 $69.18 Median $89.13 Typical High $158.49 | Facility | None | $69.18 | $89.13 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $128.82 Typical High $758.58 | Facility | TC · Technical part | $75.86 | $128.82 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $69.18 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $9.77 | $12.59 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $75.86 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $37.15 | Professional | 26 · Professional part | $10.47 | $12.30 | $37.15 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $616.60 Typical High $1,122.02 | Facility | None | $257.04 | $616.60 | $1,122.02 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $15.85 Median $70.79 Typical High $112.20 | Professional | None (both parts) | $15.85 | $70.79 | $112.20 |
Baylor Scott & White Setting Facility Modifier None Typical Low $117.49 Median $426.58 Typical High $1,122.02 | Facility | None | $117.49 | $426.58 | $1,122.02 |
Christus Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $14.45 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $346.74 Typical High $1,023.29 | Facility | None | $147.91 | $346.74 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $57.54 | $89.13 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $27.54 | Professional | 26 · Professional part | $8.71 | $13.49 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $75.86 | $123.03 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $87.10 | $134.90 | $134.90 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $691.83 | $691.83 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $776.25 | Professional | TC · Technical part | $588.84 | $588.84 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $537.03 Typical High $707.95 | Facility | None | $100.00 | $537.03 | $707.95 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $134.90 Typical High $1,318.26 | Facility | TC · Technical part | $77.62 | $134.90 | $1,318.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $69.18 | $89.13 | $144.54 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $22.39 | Professional | 26 · Professional part | $9.77 | $12.59 | $22.39 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $60.26 | $75.86 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $14.45 | $83.18 | $109.65 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $309.03 Typical High $1,096.48 | Facility | None | $93.33 | $309.03 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $57.54 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $57.54 | $89.13 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $8.71 | $13.49 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $48.98 | $72.44 | $114.82 |
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 $72.44 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $72.44 | $89.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $15.85 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $74.13 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
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 $38.02 Median $64.57 Typical High $380.19 | Facility | 52 · Reduced service | $38.02 | $64.57 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $25.70 Typical High $151.36 | Facility | 53 · Discontinued | $15.49 | $25.70 | $151.36 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $66.07 Median $95.50 Typical High $354.81 | Facility | FX · Film X-ray | $66.07 | $95.50 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $52.48 | Professional | 52 · Reduced service | $34.67 | $43.65 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $20.89 | Professional | 53 · Discontinued | $13.80 | $17.38 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $70.79 Typical High $79.43 | Professional | FX · Film X-ray | $56.23 | $70.79 | $79.43 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $38.02 Median $60.26 Typical High $186.21 | Facility | 52 · Reduced service | $38.02 | $60.26 | $186.21 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $23.99 Typical High $74.13 | Facility | 53 · Discontinued | $15.49 | $23.99 | $74.13 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $95.50 Typical High $371.54 | Facility | FX · Film X-ray | $61.66 | $95.50 | $371.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $51.29 | Professional | 52 · Reduced service | $34.67 | $43.65 | $51.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $17.38 | $20.42 |
Where Texas sits
The same service costs 3.8 times more in Alaska than in New York. 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· 44th of 51
$93.33
AK $288NY $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.