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 $53.70 Median $69.18 Typical High $69.18 | Facility | None | $53.70 | $69.18 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $75.86 Typical High $446.68 | Facility | TC · Technical part | $45.71 | $75.86 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $53.70 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $18.62 | $23.99 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $43.65 | $54.95 |
BCBS Texas Setting Facility Modifier None Typical Low $42.66 Median $104.71 Typical High $281.84 | Facility | None | $42.66 | $104.71 | $281.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $22.39 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $22.39 | $40.74 | $75.86 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | 26 · Professional part | $26.92 | $26.92 | $27.54 |
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 $46.77 Median $72.44 Typical High $154.88 | Professional | None (both parts) | $46.77 | $72.44 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $16.60 | $25.12 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $46.77 Typical High $97.72 | Professional | TC · Technical part | $30.90 | $46.77 | $97.72 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | 26 · Professional part | $208.93 | $208.93 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $75.86 Typical High $147.91 | Facility | None | $28.18 | $75.86 | $147.91 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $213.80 | Facility | TC · Technical part | $45.71 | $70.79 | $213.80 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $53.70 | $67.61 | $85.11 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $24.55 | $38.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $43.65 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $39.81 | Professional | None (both parts) | $24.55 | $33.88 | $39.81 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $97.72 Typical High $323.59 | Facility | None | $53.70 | $97.72 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $46.77 | $70.79 | $138.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $16.60 | $25.12 | $46.77 |
Providence Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $30.90 | $45.71 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $128.82 | $162.18 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $29.51 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $104.71 | $131.83 | $194.98 |
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 $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
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 $25.12 Median $38.02 Typical High $223.87 | Facility | 52 · Reduced service | $25.12 | $38.02 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.00 Median $15.14 Typical High $89.13 | Facility | 53 · Discontinued | $10.00 | $15.14 | $89.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $56.23 Typical High $204.17 | Facility | FX · Film X-ray | $38.90 | $56.23 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $26.92 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $10.72 | $13.49 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | FX · Film X-ray | $42.66 | $54.95 | $64.57 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $24.55 Median $35.48 Typical High $107.15 | Facility | 52 · Reduced service | $24.55 | $35.48 | $107.15 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $14.13 Typical High $42.66 | Facility | 53 · Discontinued | $9.77 | $14.13 | $42.66 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $36.31 Median $56.23 Typical High $213.80 | Facility | FX · Film X-ray | $36.31 | $56.23 | $213.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $33.88 Typical High $41.69 | Professional | 52 · Reduced service | $26.92 | $33.88 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $10.72 | $13.49 | $16.98 |
Where Texas sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 51st 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.