How much rates vary
Facilitymedian $4,266 · 10th to 90th $457 to $12,023Professionalmedian $105 · 10th to 90th $17 to $302
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 $60.26 Median $120.23 Typical High $229.09 | Facility | None | $60.26 | $120.23 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $588.84 | Facility | TC · Technical part | $58.88 | $102.33 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $104.71 | $138.04 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $75.86 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $162.18 | Professional | TC · Technical part | $46.77 | $60.26 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $125.89 | $125.89 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $74.13 | $89.13 |
BCBS Texas Setting Facility Modifier None Typical Low $2,884.03 Median $8,317.64 Typical High $13,182.57 | Facility | None | $2,884.03 | $8,317.64 | $13,182.57 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $70.79 | $125.89 | $190.55 |
Christus Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $1,122.02 Typical High $12,882.50 | Facility | None | $223.87 | $1,122.02 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $398.11 | Professional | None (both parts) | $93.33 | $144.54 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $128.82 | Professional | 26 · Professional part | $53.70 | $77.62 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $251.19 | Professional | TC · Technical part | $40.74 | $63.10 | $251.19 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $676.08 | $676.08 | $758.58 |
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 $104.71 Median $190.55 Typical High $4,897.79 | Facility | None | $104.71 | $190.55 | $4,897.79 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $323.59 | Facility | TC · Technical part | $60.26 | $97.72 | $323.59 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $104.71 | $138.04 | $245.47 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $75.86 | $120.23 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $60.26 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.59 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $12.59 | $70.79 | $165.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $79.43 | $177.83 | $371.54 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $389.05 Typical High $12,882.50 | Facility | None | $165.96 | $389.05 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $363.08 | Professional | None (both parts) | $93.33 | $144.54 | $363.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $77.62 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $218.78 | Professional | TC · Technical part | $40.74 | $63.10 | $218.78 |
United Setting Facility Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $6,606.93 | Facility | None | $4,786.30 | $5,011.87 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $407.38 | Professional | None (both parts) | $141.25 | $181.97 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $87.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $346.74 | Professional | TC · Technical part | $64.57 | $95.50 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
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 |
13 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 $67.61 Typical High $295.12 | Facility | 52 · Reduced service | $34.67 | $67.61 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $27.54 Typical High $120.23 | Facility | 53 · Discontinued | $13.80 | $27.54 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $52.48 Median $87.10 Typical High $275.42 | Facility | FX · Film X-ray | $52.48 | $87.10 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $52.48 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $20.89 | $26.92 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $109.65 Typical High $134.90 | Professional | FX · Film X-ray | $83.18 | $109.65 | $134.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 59 · Distinct service | $109.65 | $109.65 | $112.20 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | XU · Unusual separate service | $109.65 | $109.65 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $56.23 Typical High $162.18 | Facility | 52 · Reduced service | $33.11 | $56.23 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $22.39 Typical High $64.57 | Facility | 53 · Discontinued | $13.18 | $22.39 | $64.57 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $47.86 Median $75.86 Typical High $288.40 | Facility | FX · Film X-ray | $47.86 | $75.86 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $67.61 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $20.89 | $26.92 | $33.88 |
Where Texas sits
The same service costs 5.1 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
$110
AK $513UT $100
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.