How much rates vary
Facilitymedian $2,754 · 10th to 90th $759 to $5,754Professionalmedian $676 · 10th to 90th $38 to $5,248
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 $1,698.24 Median $2,187.76 Typical High $2,398.83 | Facility | None | $1,698.24 | $2,187.76 | $2,398.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $2,344.23 Median $3,981.07 Typical High $23,442.29 | Facility | TC · Technical part | $2,344.23 | $3,981.07 | $23,442.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,344.23 Typical High $2,818.38 | Professional | None (both parts) | $1,862.09 | $2,344.23 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $24.55 | $32.36 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,818.38 | Professional | TC · Technical part | $1,862.09 | $2,290.87 | $2,818.38 |
BCBS Texas Setting Facility Modifier None Typical Low $1,174.90 Median $3,162.28 Typical High $5,248.07 | Facility | None | $1,174.90 | $3,162.28 | $5,248.07 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $134.90 Typical High $3,019.95 | Professional | None (both parts) | $45.71 | $134.90 | $3,019.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $36.31 | $36.31 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,174.90 Typical High $12,882.50 | Facility | None | $426.58 | $1,174.90 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $147.91 | $223.87 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $21.88 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $190.55 | $354.81 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None (both parts) | $5,248.07 | $5,248.07 | $5,248.07 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | TC · Technical part | $5,248.07 | $5,248.07 | $5,248.07 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $1,862.09 Typical High $3,311.31 | Facility | None | $38.02 | $1,862.09 | $3,311.31 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $2,398.83 Median $3,715.35 Typical High $11,481.54 | Facility | TC · Technical part | $2,398.83 | $3,715.35 | $11,481.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,290.87 Typical High $2,754.23 | Professional | None (both parts) | $1,862.09 | $2,290.87 | $2,754.23 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $32.36 | $46.77 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,754.23 | Professional | TC · Technical part | $1,862.09 | $2,290.87 | $2,754.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $229.09 | Professional | None (both parts) | $33.11 | $34.67 | $229.09 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $1,174.90 Typical High $12,882.50 | Facility | None | $316.23 | $1,174.90 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $147.91 | $223.87 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $21.88 | $33.88 | $63.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $186.21 | $346.74 |
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 $269.15 Median $1,258.93 Typical High $2,511.89 | Professional | None (both parts) | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $31.62 | $39.81 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $1,230.27 Typical High $2,454.71 | Professional | TC · Technical part | $229.09 | $1,230.27 | $2,454.71 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
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 $1,174.90 Median $1,995.26 Typical High $11,748.98 | Facility | 52 · Reduced service | $1,174.90 | $1,995.26 | $11,748.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $794.33 Typical High $4,677.35 | Facility | 53 · Discontinued | $467.74 | $794.33 | $4,677.35 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,951.21 Typical High $10,964.78 | Facility | FX · Film X-ray | $1,905.46 | $2,951.21 | $10,964.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,174.90 Typical High $1,445.44 | Professional | 52 · Reduced service | $933.25 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $575.44 | Professional | 53 · Discontinued | $371.54 | $467.74 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,479.11 Median $1,862.09 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,479.11 | $1,862.09 | $2,238.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,862.09 Typical High $5,754.40 | Facility | 52 · Reduced service | $1,174.90 | $1,862.09 | $5,754.40 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $478.63 Median $741.31 Typical High $2,290.87 | Facility | 53 · Discontinued | $478.63 | $741.31 | $2,290.87 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,951.21 Typical High $11,481.54 | Facility | FX · Film X-ray | $1,905.46 | $2,951.21 | $11,481.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,174.90 Typical High $1,380.38 | Professional | 52 · Reduced service | $933.25 | $1,174.90 | $1,380.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $562.34 | Professional | 53 · Discontinued | $371.54 | $467.74 | $562.34 |
Where Texas sits
The same service costs 15.1 times more in Colorado 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· 14th of 51
$1,318
CO $3,715NJ $245
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.