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 $331.13 Median $426.58 Typical High $457.09 | Facility | None | $331.13 | $426.58 | $457.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $758.58 Typical High $4,365.16 | Facility | TC · Technical part | $446.68 | $758.58 | $4,365.16 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $363.08 | $446.68 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $26.30 | $34.67 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $588.84 | Professional | TC · Technical part | $354.81 | $436.52 | $588.84 |
BCBS Texas Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $3,311.31 | Facility | None | $741.31 | $1,905.46 | $3,311.31 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $56.23 Median $83.18 Typical High $660.69 | Professional | None (both parts) | $56.23 | $83.18 | $660.69 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | 26 · Professional part | $39.81 | $39.81 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $870.96 Typical High $2,511.89 | Facility | None | $371.54 | $870.96 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $144.54 | $218.78 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $37.15 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $338.84 | Professional | TC · Technical part | $120.23 | $181.97 | $338.84 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $2,290.87 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $2,290.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 26 · Professional part | $354.81 | $354.81 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,905.46 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $43.65 Median $426.58 Typical High $645.65 | Facility | None | $43.65 | $426.58 | $645.65 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $707.95 Typical High $2,187.76 | Facility | TC · Technical part | $446.68 | $707.95 | $2,187.76 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $363.08 | $446.68 | $562.34 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $26.30 | $34.67 | $47.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $436.52 Typical High $549.54 | Professional | TC · Technical part | $354.81 | $436.52 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $204.17 | Professional | None (both parts) | $33.11 | $35.48 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $158.49 Typical High $489.78 | Professional | None (both parts) | $47.86 | $158.49 | $489.78 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $758.58 Typical High $2,511.89 | Facility | None | $295.12 | $758.58 | $2,511.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $144.54 | $213.80 | $407.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $37.15 | $66.07 |
Providence Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $120.23 | $177.83 | $316.23 |
United Setting Facility Modifier None Typical Low $954.99 Median $977.24 Typical High $1,318.26 | Facility | None | $954.99 | $977.24 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $223.87 | $537.03 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $42.66 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $501.19 Typical High $758.58 | Professional | TC · Technical part | $181.97 | $501.19 | $758.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
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 $223.87 Median $380.19 Typical High $2,187.76 | Facility | 52 · Reduced service | $223.87 | $380.19 | $2,187.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $151.36 Typical High $891.25 | Facility | 53 · Discontinued | $89.13 | $151.36 | $891.25 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $363.08 Median $562.34 Typical High $2,041.74 | Facility | FX · Film X-ray | $363.08 | $562.34 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $223.87 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $89.13 Typical High $120.23 | Professional | 53 · Discontinued | $72.44 | $89.13 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $363.08 Typical High $446.68 | Professional | FX · Film X-ray | $288.40 | $363.08 | $446.68 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $223.87 Median $354.81 Typical High $1,096.48 | Facility | 52 · Reduced service | $223.87 | $354.81 | $1,096.48 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $89.13 Median $141.25 Typical High $436.52 | Facility | 53 · Discontinued | $89.13 | $141.25 | $436.52 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $363.08 Median $562.34 Typical High $2,187.76 | Facility | FX · Film X-ray | $363.08 | $562.34 | $2,187.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $223.87 Typical High $281.84 | Professional | 52 · Reduced service | $177.83 | $223.87 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $89.13 Typical High $112.20 | Professional | 53 · Discontinued | $72.44 | $89.13 | $112.20 |
Where Texas sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 30th of 51
$457
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.