How much rates vary
Facilitymedian $151 · 10th to 90th $87 to $417Professionalmedian $71 · 10th to 90th $13 to $132
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 $63.10 Median $81.28 Typical High $141.25 | Facility | None | $63.10 | $81.28 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $74.13 Typical High $426.58 | Facility | TC · Technical part | $43.65 | $74.13 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $63.10 | $81.28 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $18.20 | $38.02 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $128.82 | Professional | TC · Technical part | $33.88 | $43.65 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $37.15 | $60.26 |
BCBS Texas Setting Facility Modifier None Typical Low $91.20 Median $208.93 Typical High $588.84 | Facility | None | $91.20 | $208.93 | $588.84 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $35.48 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $35.48 | $74.13 | $107.15 |
Baylor Scott & White Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $91.20 | $95.50 | $154.88 |
Christus Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $776.25 Typical High $977.24 | Facility | None | $331.13 | $776.25 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $85.11 Typical High $218.78 | Professional | None (both parts) | $54.95 | $85.11 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $19.05 | $37.15 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $165.96 | Professional | TC · Technical part | $28.18 | $44.67 | $165.96 |
Health Smart 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 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,019.95 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
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 $77.62 Median $114.82 Typical High $1,479.11 | Facility | None | $77.62 | $114.82 | $1,479.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $69.18 Typical High $208.93 | Facility | TC · Technical part | $43.65 | $69.18 | $208.93 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $162.18 | Professional | None (both parts) | $63.10 | $81.28 | $162.18 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $21.88 | $38.02 | $63.10 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $43.65 Typical High $107.15 | Professional | TC · Technical part | $33.88 | $43.65 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $10.23 | $56.23 | $100.00 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $977.24 | Facility | None | $81.28 | $123.03 | $977.24 |
Providence Setting Professional Modifier None (both parts) Typical Low $54.95 Median $85.11 Typical High $204.17 | Professional | None (both parts) | $54.95 | $85.11 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $19.05 | $37.15 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $144.54 | Professional | TC · Technical part | $28.18 | $44.67 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $79.43 | $109.65 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $37.15 Typical High $60.26 | Professional | 26 · Professional part | $15.85 | $37.15 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $309.03 | Professional | TC · Technical part | $47.86 | $67.61 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
12 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 $24.55 Median $40.74 Typical High $213.80 | Facility | 52 · Reduced service | $24.55 | $40.74 | $213.80 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $16.22 Typical High $85.11 | Facility | 53 · Discontinued | $9.77 | $16.22 | $85.11 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.02 Median $58.88 Typical High $204.17 | Facility | FX · Film X-ray | $38.02 | $58.88 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $39.81 Typical High $50.12 | Professional | 52 · Reduced service | $31.62 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.22 Typical High $19.95 | Professional | 53 · Discontinued | $12.59 | $16.22 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $64.57 Typical High $79.43 | Professional | FX · Film X-ray | $50.12 | $64.57 | $79.43 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 59 · Distinct service | $64.57 | $64.57 | $66.07 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $23.44 Median $38.90 Typical High $123.03 | Facility | 52 · Reduced service | $23.44 | $38.90 | $123.03 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $9.55 Median $15.49 Typical High $50.12 | Facility | 53 · Discontinued | $9.55 | $15.49 | $50.12 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $34.67 Median $53.70 Typical High $208.93 | Facility | FX · Film X-ray | $34.67 | $53.70 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $39.81 Typical High $50.12 | Professional | 52 · Reduced service | $31.62 | $39.81 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.85 Typical High $19.95 | Professional | 53 · Discontinued | $12.59 | $15.85 | $19.95 |
Where Texas sits
The same service costs 4.0 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
$74.13
AK $295TX $74.13
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.