How much rates vary
Facilitymedian $6,761 · 10th to 90th $741 to $12,882Professionalmedian $1,230 · 10th to 90th $43 to $5,370
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 $2,884.03 | Professional | None (both parts) | $1,862.09 | $2,344.23 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $43.65 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,951.21 | Professional | TC · Technical part | $1,862.09 | $2,290.87 | $2,951.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $8,128.31 Typical High $13,182.57 | Facility | None | $2,570.40 | $8,128.31 | $13,182.57 |
BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $186.21 Typical High $3,235.94 | Professional | None (both parts) | $43.65 | $186.21 | $3,235.94 |
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 $426.58 Median $1,230.27 Typical High $12,882.50 | Facility | None | $426.58 | $1,230.27 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $147.91 | $229.09 | $467.74 |
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 $120.23 Median $181.97 Typical High $363.08 | Professional | TC · Technical part | $120.23 | $181.97 | $363.08 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $5,370.32 | $5,370.32 | $5,370.32 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $524.81 | $524.81 | $524.81 |
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 $51.29 Median $1,862.09 Typical High $3,311.31 | Facility | None | $51.29 | $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 $2,344.23 Typical High $2,818.38 | Professional | None (both parts) | $1,862.09 | $2,344.23 | $2,818.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $43.65 | $66.07 |
Moda Health 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 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $79.43 | Professional | None (both parts) | $33.11 | $37.15 | $79.43 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $1,122.02 Typical High $12,882.50 | Facility | None | $302.00 | $1,122.02 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $147.91 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $147.91 | $229.09 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $30.20 | $45.71 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $120.23 | $177.83 | $338.84 |
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 $302.00 Median $2,570.40 Typical High $3,890.45 | Professional | None (both parts) | $302.00 | $2,570.40 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $54.95 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $2,511.89 Typical High $3,801.89 | Professional | TC · Technical part | $245.47 | $2,511.89 | $3,801.89 |
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 $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 $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 $1,905.46 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,479.11 | $1,905.46 | $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 $1,412.54 | Professional | 52 · Reduced service | $933.25 | $1,174.90 | $1,412.54 |
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· 18th of 51
$1,950
CO $3,890NJ $257
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.