How much rates vary
Facilitymedian $589 · 10th to 90th $170 to $12,882Professionalmedian $115 · 10th to 90th $17 to $3,236
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 $109.65 Median $141.25 Typical High $141.25 | Facility | None | $109.65 | $141.25 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $891.25 | Facility | TC · Technical part | $89.13 | $151.36 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $109.65 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $50.12 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $89.13 | $138.04 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $56.23 | $56.23 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,148.15 Typical High $12,882.50 | Facility | None | $323.59 | $1,148.15 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $398.11 | Professional | None (both parts) | $97.72 | $151.36 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $53.70 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $100.00 Typical High $269.15 | Professional | TC · Technical part | $64.57 | $100.00 | $269.15 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $691.83 | $691.83 | $691.83 |
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 $125.89 Median $173.78 Typical High $724.44 | Facility | None | $125.89 | $173.78 | $724.44 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $436.52 | Facility | TC · Technical part | $89.13 | $141.25 | $436.52 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $109.65 | $141.25 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $50.12 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $89.13 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $15.49 | $85.11 | $165.96 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $537.03 Typical High $12,882.50 | Facility | None | $177.83 | $537.03 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $371.54 | Professional | None (both parts) | $97.72 | $151.36 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $53.70 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $64.57 | $97.72 | $229.09 |
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 $177.83 Typical High $416.87 | Professional | None (both parts) | $141.25 | $177.83 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $61.66 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $354.81 | Professional | TC · Technical part | $91.20 | $114.82 | $354.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
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 $51.29 Median $75.86 Typical High $446.68 | Facility | 52 · Reduced service | $51.29 | $75.86 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $30.20 Typical High $177.83 | Facility | 53 · Discontinued | $20.42 | $30.20 | $177.83 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $77.62 Median $112.20 Typical High $407.38 | Facility | FX · Film X-ray | $77.62 | $112.20 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $69.18 Typical High $91.20 | Professional | 52 · Reduced service | $54.95 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $36.31 | Professional | 53 · Discontinued | $21.88 | $28.18 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $112.20 Typical High $134.90 | Professional | FX · Film X-ray | $87.10 | $112.20 | $134.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $48.98 Median $70.79 Typical High $218.78 | Facility | 52 · Reduced service | $48.98 | $70.79 | $218.78 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $28.18 Typical High $87.10 | Facility | 53 · Discontinued | $19.50 | $28.18 | $87.10 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $112.20 Typical High $436.52 | Facility | FX · Film X-ray | $72.44 | $112.20 | $436.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $69.18 Typical High $89.13 | Professional | 52 · Reduced service | $54.95 | $69.18 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $27.54 | $35.48 |
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
$117
AK $513TX $117
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.