How much rates vary
Facilitymedian $427 · 10th to 90th $229 to $1,023Professionalmedian $71 · 10th to 90th $12 to $631
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 $67.61 Median $112.20 Typical High $363.08 | Facility | None | $67.61 | $112.20 | $363.08 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $660.69 | Facility | TC · Technical part | $66.07 | $104.71 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $125.89 | Professional | None (both parts) | $64.57 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $11.75 | $15.14 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $64.57 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $72.44 | Professional | None (both parts) | $60.26 | $69.18 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $17.38 | $33.88 |
BCBS Texas Setting Facility Modifier None Typical Low $257.04 Median $660.69 Typical High $1,096.48 | Facility | None | $257.04 | $660.69 | $1,096.48 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $16.22 Median $64.57 Typical High $100.00 | Professional | None (both parts) | $16.22 | $64.57 | $100.00 |
Baylor Scott & White Setting Facility Modifier None Typical Low $104.71 Median $426.58 Typical High $1,445.44 | Facility | None | $104.71 | $426.58 | $1,445.44 |
Christus Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 26 · Professional part | $16.98 | $16.98 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $295.12 Typical High $1,023.29 | Facility | None | $120.23 | $295.12 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $51.29 | $79.43 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.85 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $15.85 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $64.57 | $104.71 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $75.86 | $117.49 | $117.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $776.25 | Professional | None (both parts) | $630.96 | $630.96 | $776.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $131.83 | $131.83 | $147.91 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $630.96 | Professional | TC · Technical part | $524.81 | $524.81 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $562.34 Typical High $831.76 | Facility | None | $91.20 | $562.34 | $831.76 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $407.38 | Facility | TC · Technical part | $66.07 | $104.71 | $407.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $64.57 | $81.28 | $128.82 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $15.14 | $25.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $63.10 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $9.77 | $56.23 | $72.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $18.62 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $18.62 | $81.28 | $162.18 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $257.04 Typical High $1,096.48 | Facility | None | $83.18 | $257.04 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $51.29 | $79.43 | $138.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.85 Typical High $28.84 | Professional | 26 · Professional part | $10.47 | $15.85 | $28.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $40.74 | $63.10 | $97.72 |
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 $66.07 Median $83.18 Typical High $123.03 | Professional | None (both parts) | $66.07 | $83.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $14.45 | $18.20 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $64.57 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
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 $33.88 Median $57.54 Typical High $331.13 | Facility | 52 · Reduced service | $33.88 | $57.54 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $22.91 Typical High $131.83 | Facility | 53 · Discontinued | $13.49 | $22.91 | $131.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $85.11 Typical High $309.03 | Facility | FX · Film X-ray | $58.88 | $85.11 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $32.36 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $18.62 | Professional | 53 · Discontinued | $12.88 | $16.22 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $64.57 Typical High $72.44 | Professional | FX · Film X-ray | $51.29 | $64.57 | $72.44 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $52.48 Typical High $162.18 | Facility | 52 · Reduced service | $33.88 | $52.48 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $20.89 Typical High $64.57 | Facility | 53 · Discontinued | $13.49 | $20.89 | $64.57 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $85.11 Typical High $323.59 | Facility | FX · Film X-ray | $53.70 | $85.11 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $32.36 | $40.74 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.22 Typical High $18.62 | Professional | 53 · Discontinued | $12.88 | $16.22 | $18.62 |
Where Texas sits
The same service costs 4.0 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
$74.13
AK $263UT $66.07
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.