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 $81.28 Median $112.20 Typical High $131.83 | Facility | None | $81.28 | $112.20 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $676.08 | Facility | TC · Technical part | $67.61 | $114.82 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $87.10 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $43.65 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $67.61 | $112.20 |
BCBS Texas Setting Facility Modifier None Typical Low $138.04 Median $346.74 Typical High $2,570.40 | Facility | None | $138.04 | $346.74 | $2,570.40 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $45.71 | $104.71 | $162.18 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $50.12 | Professional | 26 · Professional part | $48.98 | $48.98 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $891.25 Typical High $12,882.50 | Facility | None | $239.88 | $891.25 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $331.13 | Professional | None (both parts) | $77.62 | $120.23 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $95.50 | Professional | 26 · Professional part | $30.20 | $45.71 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $218.78 | Professional | TC · Technical part | $46.77 | $74.13 | $218.78 |
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 $3,162.28 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 $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
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 $87.10 Median $131.83 Typical High $562.34 | Facility | None | $87.10 | $131.83 | $562.34 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $331.13 | Facility | TC · Technical part | $67.61 | $107.15 | $331.13 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $87.10 | $112.20 | $186.21 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $33.88 | $43.65 | $72.44 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $67.61 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $10.23 | $56.23 | $134.90 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $446.68 Typical High $12,882.50 | Facility | None | $141.25 | $446.68 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $77.62 | $120.23 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $45.71 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $186.21 | Professional | TC · Technical part | $46.77 | $72.44 | $186.21 |
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 $147.91 Typical High $380.19 | Professional | None (both parts) | $114.82 | $147.91 | $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 $72.44 Median $91.20 Typical High $323.59 | Professional | TC · Technical part | $72.44 | $91.20 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $38.90 Median $57.54 Typical High $331.13 | Facility | 52 · Reduced service | $38.90 | $57.54 | $331.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $22.91 Typical High $134.90 | Facility | 53 · Discontinued | $15.49 | $22.91 | $134.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $58.88 Median $87.10 Typical High $309.03 | Facility | FX · Film X-ray | $58.88 | $87.10 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $54.95 Typical High $70.79 | Professional | 52 · Reduced service | $43.65 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.39 Typical High $28.18 | Professional | 53 · Discontinued | $17.38 | $22.39 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $89.13 Typical High $107.15 | Professional | FX · Film X-ray | $69.18 | $89.13 | $107.15 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $37.15 Median $56.23 Typical High $162.18 | Facility | 52 · Reduced service | $37.15 | $56.23 | $162.18 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $14.79 Median $22.39 Typical High $66.07 | Facility | 53 · Discontinued | $14.79 | $22.39 | $66.07 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $85.11 Typical High $331.13 | Facility | FX · Film X-ray | $54.95 | $85.11 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $54.95 Typical High $69.18 | Professional | 52 · Reduced service | $43.65 | $54.95 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $17.38 | $21.88 | $28.18 |
Where Texas sits
The same service costs 4.3 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
$97.72
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.