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 $53.70 Median $69.18 Typical High $123.03 | Facility | None | $53.70 | $69.18 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $489.78 | Facility | TC · Technical part | $48.98 | $85.11 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $53.70 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $19.05 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $48.98 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $67.61 | $67.61 | $83.18 |
BCBS Texas Setting Facility Modifier None Typical Low $123.03 Median $323.59 Typical High $707.95 | Facility | None | $123.03 | $323.59 | $707.95 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $24.55 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $24.55 | $66.07 | $93.33 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $467.74 | Facility | None | $109.65 | $263.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $72.44 Typical High $144.54 | Professional | None (both parts) | $45.71 | $72.44 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $13.18 | $19.50 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $104.71 | Professional | TC · Technical part | $33.11 | $52.48 | $104.71 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $371.54 | Facility | None | $63.10 | $97.72 | $371.54 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $77.62 Typical High $147.91 | Facility | TC · Technical part | $50.12 | $77.62 | $147.91 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $53.70 | $69.18 | $112.20 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $19.05 | $30.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $50.12 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $9.77 | $56.23 | $72.44 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $229.09 Typical High $467.74 | Facility | None | $75.86 | $229.09 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $45.71 Median $72.44 Typical High $144.54 | Professional | None (both parts) | $45.71 | $72.44 | $144.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $13.18 | $19.50 | $36.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $33.11 | $51.29 | $95.50 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $70.79 | $89.13 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $22.91 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $112.20 | Professional | TC · Technical part | $51.29 | $66.07 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
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 $26.92 Median $42.66 Typical High $245.47 | Facility | 52 · Reduced service | $26.92 | $42.66 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $16.98 Typical High $97.72 | Facility | 53 · Discontinued | $10.72 | $16.98 | $97.72 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $43.65 Median $63.10 Typical High $229.09 | Facility | FX · Film X-ray | $43.65 | $63.10 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $26.92 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $16.98 | Professional | 53 · Discontinued | $10.72 | $13.80 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $54.95 Typical High $67.61 | Professional | FX · Film X-ray | $42.66 | $54.95 | $67.61 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $26.92 Median $38.90 Typical High $120.23 | Facility | 52 · Reduced service | $26.92 | $38.90 | $120.23 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $15.49 Typical High $47.86 | Facility | 53 · Discontinued | $10.72 | $15.49 | $47.86 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $39.81 Median $63.10 Typical High $239.88 | Facility | FX · Film X-ray | $39.81 | $63.10 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $33.88 Typical High $41.69 | Professional | 52 · Reduced service | $26.92 | $33.88 | $41.69 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.49 Typical High $16.60 | Professional | 53 · Discontinued | $10.72 | $13.49 | $16.60 |
Where Texas sits
The same service costs 3.8 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· 49th of 51
$69.18
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.