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 $100.00 | Facility | None | $72.44 | $100.00 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $562.34 | Facility | TC · Technical part | $57.54 | $97.72 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $77.62 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $42.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $131.83 | Professional | TC · Technical part | $44.67 | $57.54 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
BCBS Texas Setting Facility Modifier None Typical Low $2,884.03 Median $8,317.64 Typical High $13,182.57 | Facility | None | $2,884.03 | $8,317.64 | $13,182.57 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $44.67 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $44.67 | $97.72 | $147.91 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | 26 · Professional part | $47.86 | $47.86 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $891.25 Typical High $12,882.50 | Facility | None | $204.17 | $891.25 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $316.23 | Professional | None (both parts) | $69.18 | $104.71 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $29.51 | $44.67 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $194.98 | Professional | TC · Technical part | $38.90 | $60.26 | $194.98 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
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 $77.62 Median $117.49 Typical High $575.44 | Facility | None | $77.62 | $117.49 | $575.44 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $275.42 | Facility | TC · Technical part | $57.54 | $89.13 | $275.42 |
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 $32.36 Median $42.66 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $42.66 | $70.79 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $120.23 | Professional | TC · Technical part | $44.67 | $57.54 | $120.23 |
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 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $380.19 Typical High $12,882.50 | Facility | None | $125.89 | $380.19 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $69.18 | $104.71 | $281.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $29.51 | $44.67 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $60.26 Typical High $165.96 | Professional | TC · Technical part | $38.90 | $60.26 | $165.96 |
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 $107.15 Median $134.90 Typical High $371.54 | Professional | None (both parts) | $107.15 | $134.90 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $53.70 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $316.23 | Professional | TC · Technical part | $61.66 | $81.28 | $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 $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
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 $281.84 | Facility | 52 · Reduced service | $32.36 | $50.12 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $19.95 Typical High $112.20 | Facility | 53 · Discontinued | $13.18 | $19.95 | $112.20 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $50.12 Median $74.13 Typical High $263.03 | Facility | FX · Film X-ray | $50.12 | $74.13 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $38.90 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $15.49 | $19.95 | $25.12 |
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 $31.62 Median $50.12 Typical High $138.04 | Facility | 52 · Reduced service | $31.62 | $50.12 | $138.04 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $19.95 Typical High $54.95 | Facility | 53 · Discontinued | $12.59 | $19.95 | $54.95 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $45.71 Median $72.44 Typical High $275.42 | Facility | FX · Film X-ray | $45.71 | $72.44 | $275.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $38.90 | $48.98 | $61.66 |
Moda Health 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 |
Where Texas sits
The same service costs 4.9 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.