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 $77.62 Median $102.33 Typical High $181.97 | Facility | None | $77.62 | $102.33 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $562.34 | Facility | TC · Technical part | $57.54 | $95.50 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $77.62 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $43.65 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $57.54 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
BCBS Texas Setting Facility Modifier None Typical Low $4,570.88 Median $13,182.57 Typical High $21,877.62 | Facility | None | $4,570.88 | $13,182.57 | $21,877.62 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $40.74 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $40.74 | $93.33 | $128.82 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $50.12 | $50.12 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $912.01 Typical High $22,387.21 | Facility | None | $199.53 | $912.01 | $22,387.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $309.03 | Professional | None (both parts) | $69.18 | $107.15 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $30.90 | $45.71 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $194.98 | Professional | TC · Technical part | $38.02 | $60.26 | $194.98 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $660.69 | Facility | None | $91.20 | $128.82 | $660.69 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $275.42 | Facility | TC · Technical part | $57.54 | $89.13 | $275.42 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $77.62 | $102.33 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $43.65 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $57.54 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $10.23 | $56.23 | $100.00 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $371.54 Typical High $22,387.21 | Facility | None | $128.82 | $371.54 | $22,387.21 |
Providence Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $275.42 | Professional | None (both parts) | $69.18 | $107.15 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $45.71 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $165.96 | Professional | TC · Technical part | $38.02 | $60.26 | $165.96 |
United Setting Facility Modifier None Typical Low $8,511.38 Median $8,709.64 Typical High $11,481.54 | Facility | None | $8,511.38 | $8,709.64 | $11,481.54 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $380.19 | Professional | None (both parts) | $104.71 | $131.83 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $323.59 | Professional | TC · Technical part | $60.26 | $79.43 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
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 $32.36 Median $51.29 Typical High $281.84 | Facility | 52 · Reduced service | $32.36 | $51.29 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $112.20 | Facility | 53 · Discontinued | $13.18 | $20.42 | $112.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $50.12 Median $74.13 Typical High $263.03 | Facility | FX · Film X-ray | $50.12 | $74.13 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $38.90 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $19.95 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $81.28 Typical High $97.72 | Professional | FX · Film X-ray | $63.10 | $81.28 | $97.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $31.62 Median $51.29 Typical High $138.04 | Facility | 52 · Reduced service | $31.62 | $51.29 | $138.04 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $20.42 Typical High $54.95 | Facility | 53 · Discontinued | $12.59 | $20.42 | $54.95 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $45.71 Median $70.79 Typical High $275.42 | Facility | FX · Film X-ray | $45.71 | $70.79 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $50.12 Typical High $61.66 | Professional | 52 · Reduced service | $38.90 | $50.12 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $19.95 | $25.12 |
Where Texas sits
The same service costs 4.9 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· 50th of 51
$83.18
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.