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 $72.44 Median $100.00 Typical High $177.83 | Facility | None | $72.44 | $100.00 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $95.50 Typical High $562.34 | Facility | TC · Technical part | $56.23 | $95.50 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $77.62 | $100.00 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $43.65 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $141.25 | Professional | TC · Technical part | $43.65 | $56.23 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $43.65 | $43.65 |
BCBS Texas Setting Facility Modifier None Typical Low $831.76 Median $1,905.46 Typical High $3,090.30 | Facility | None | $831.76 | $1,905.46 | $3,090.30 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $45.71 | $95.50 | $147.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $52.48 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $776.25 Typical High $6,456.54 | Facility | None | $194.98 | $776.25 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $104.71 Typical High $302.00 | Professional | None (both parts) | $67.61 | $104.71 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $46.77 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $190.55 | Professional | TC · Technical part | $36.31 | $58.88 | $190.55 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
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 $89.13 Median $138.04 Typical High $1,479.11 | Facility | None | $89.13 | $138.04 | $1,479.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $263.03 | Facility | TC · Technical part | $56.23 | $91.20 | $263.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $77.62 | $100.00 | $190.55 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $43.65 | $74.13 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $117.49 | Professional | TC · Technical part | $43.65 | $56.23 | $117.49 |
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 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $58.88 | $109.65 | $223.87 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $6,456.54 | Facility | None | $125.89 | $363.08 | $6,456.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $104.71 Typical High $275.42 | Professional | None (both parts) | $67.61 | $104.71 | $275.42 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $30.90 | $46.77 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $58.88 Typical High $162.18 | Professional | TC · Technical part | $36.31 | $58.88 | $162.18 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $3,235.94 | Facility | None | $2,398.83 | $2,454.71 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $363.08 | Professional | None (both parts) | $104.71 | $134.90 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $53.70 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $316.23 | Professional | TC · Technical part | $60.26 | $79.43 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $32.36 Median $50.12 Typical High $275.42 | Facility | 52 · Reduced service | $32.36 | $50.12 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.88 Median $19.95 Typical High $112.20 | Facility | 53 · Discontinued | $12.88 | $19.95 | $112.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $72.44 Typical High $257.04 | Facility | FX · Film X-ray | $48.98 | $72.44 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $50.12 Typical High $61.66 | Professional | 52 · Reduced service | $38.90 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $24.55 | Professional | 53 · Discontinued | $15.49 | $19.95 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $79.43 Typical High $97.72 | Professional | FX · Film X-ray | $61.66 | $79.43 | $97.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $30.90 Median $50.12 Typical High $134.90 | Facility | 52 · Reduced service | $30.90 | $50.12 | $134.90 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $19.95 Typical High $54.95 | Facility | 53 · Discontinued | $12.30 | $19.95 | $54.95 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $45.71 Median $70.79 Typical High $275.42 | Facility | FX · Film X-ray | $45.71 | $70.79 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $38.90 | $48.98 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $15.49 | $19.50 | $24.55 |
Where Texas sits
The same service costs 4.8 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· 50th of 51
$77.62
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.