How much rates vary
Facilitymedian $427 · 10th to 90th $155 to $5,012Professionalmedian $105 · 10th to 90th $17 to $3,162
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 $97.72 Median $125.89 Typical High $131.83 | Facility | None | $97.72 | $125.89 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $138.04 Typical High $794.33 | Facility | TC · Technical part | $81.28 | $138.04 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $97.72 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $34.67 | $44.67 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $79.43 | $107.15 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $416.87 Typical High $4,570.88 | Facility | None | $165.96 | $416.87 | $4,570.88 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $70.79 | $104.71 | $181.97 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $954.99 Typical High $12,882.50 | Facility | None | $288.40 | $954.99 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $338.84 | Professional | None (both parts) | $87.10 | $134.90 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $46.77 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $234.42 | Professional | TC · Technical part | $57.54 | $89.13 | $234.42 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
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 $114.82 Median $151.36 Typical High $645.65 | Facility | None | $114.82 | $151.36 | $645.65 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $389.05 | Facility | TC · Technical part | $81.28 | $125.89 | $389.05 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $97.72 | $125.89 | $194.98 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $44.67 | $64.57 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $63.10 | $79.43 | $125.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $83.18 Typical High $134.90 | Professional | None (both parts) | $15.49 | $83.18 | $134.90 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $489.78 Typical High $12,882.50 | Facility | None | $162.18 | $489.78 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $87.10 | $134.90 | $316.23 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $46.77 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $87.10 | $190.55 |
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 $131.83 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $131.83 | $165.96 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $109.65 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
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 $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
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 $45.71 Median $69.18 Typical High $398.11 | Facility | 52 · Reduced service | $45.71 | $69.18 | $398.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $27.54 Typical High $162.18 | Facility | 53 · Discontinued | $18.20 | $27.54 | $162.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $102.33 Typical High $371.54 | Facility | FX · Film X-ray | $70.79 | $102.33 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $19.50 | $25.12 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $100.00 Typical High $123.03 | Professional | FX · Film X-ray | $79.43 | $100.00 | $123.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $44.67 Median $63.10 Typical High $194.98 | Facility | 52 · Reduced service | $44.67 | $63.10 | $194.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $25.70 Typical High $79.43 | Facility | 53 · Discontinued | $17.78 | $25.70 | $79.43 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $102.33 Typical High $389.05 | Facility | FX · Film X-ray | $64.57 | $102.33 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $63.10 Typical High $79.43 | Professional | 52 · Reduced service | $48.98 | $63.10 | $79.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.12 Typical High $31.62 | Professional | 53 · Discontinued | $19.50 | $25.12 | $31.62 |
Where Texas sits
The same service costs 4.4 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 $457UT $105
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.