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 $85.11 Median $109.65 Typical High $109.65 | Facility | None | $85.11 | $109.65 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $100.00 Typical High $588.84 | Facility | TC · Technical part | $60.26 | $100.00 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $85.11 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $50.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $58.88 | $91.20 |
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 $48.98 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $48.98 | $104.71 | $144.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 26 · Professional part | $56.23 | $56.23 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $891.25 Typical High $12,882.50 | Facility | None | $204.17 | $891.25 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $323.59 | Professional | None (both parts) | $74.13 | $114.82 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $107.15 | Professional | 26 · Professional part | $33.88 | $52.48 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $199.53 | Professional | TC · Technical part | $39.81 | $63.10 | $199.53 |
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 $3,235.94 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 $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 $97.72 Median $138.04 Typical High $912.01 | Facility | None | $97.72 | $138.04 | $912.01 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $288.40 | Facility | TC · Technical part | $60.26 | $93.33 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $85.11 | $109.65 | $173.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $50.12 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $46.77 | $58.88 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $10.23 | $56.23 | $102.33 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $389.05 Typical High $12,882.50 | Facility | None | $138.04 | $389.05 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $295.12 | Professional | None (both parts) | $74.13 | $114.82 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $33.88 | $52.48 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $63.10 Typical High $165.96 | Professional | TC · Technical part | $39.81 | $63.10 | $165.96 |
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 $114.82 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $114.82 | $144.54 | $380.19 |
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 $64.57 Median $83.18 Typical High $316.23 | Professional | TC · Technical part | $64.57 | $83.18 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
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 $33.88 Median $54.95 Typical High $295.12 | Facility | 52 · Reduced service | $33.88 | $54.95 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $21.88 Typical High $117.49 | Facility | 53 · Discontinued | $13.49 | $21.88 | $117.49 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $52.48 Median $77.62 Typical High $275.42 | Facility | FX · Film X-ray | $52.48 | $77.62 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $42.66 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $16.98 | $21.88 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $87.10 Typical High $104.71 | Professional | FX · Film X-ray | $67.61 | $87.10 | $104.71 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $32.36 Median $53.70 Typical High $144.54 | Facility | 52 · Reduced service | $32.36 | $53.70 | $144.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $21.38 Typical High $57.54 | Facility | 53 · Discontinued | $13.18 | $21.38 | $57.54 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $47.86 Median $74.13 Typical High $288.40 | Facility | FX · Film X-ray | $47.86 | $74.13 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $53.70 Typical High $67.61 | Professional | 52 · Reduced service | $42.66 | $53.70 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $26.92 | Professional | 53 · Discontinued | $16.98 | $21.38 | $26.92 |
Where Texas sits
The same service costs 5.4 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
$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.