How much rates vary
Facilitymedian $692 · 10th to 90th $200 to $3,890Professionalmedian $120 · 10th to 90th $20 to $324
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 $104.71 Median $134.90 Typical High $134.90 | Facility | None | $104.71 | $134.90 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $144.54 Typical High $851.14 | Facility | TC · Technical part | $87.10 | $144.54 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $104.71 | $131.83 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $47.86 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $85.11 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
BCBS Texas Setting Facility Modifier None Typical Low $181.97 Median $467.74 Typical High $1,905.46 | Facility | None | $181.97 | $467.74 | $1,905.46 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $50.12 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $50.12 | $114.82 | $177.83 |
Christus Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $794.33 Typical High $12,882.50 | Facility | None | $281.84 | $794.33 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $95.50 | $138.04 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $50.12 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $213.80 | Professional | TC · Technical part | $58.88 | $87.10 | $213.80 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 26 · Professional part | $489.78 | $489.78 | $537.03 |
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 $120.23 Median $181.97 Typical High $1,479.11 | Facility | None | $120.23 | $181.97 | $1,479.11 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $416.87 | Facility | TC · Technical part | $87.10 | $134.90 | $416.87 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $104.71 | $131.83 | $229.09 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $47.86 | $75.86 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $85.11 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.18 Median $70.79 Typical High $165.96 | Professional | None (both parts) | $13.18 | $70.79 | $165.96 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $436.52 Typical High $12,882.50 | Facility | None | $173.78 | $436.52 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $309.03 | Professional | None (both parts) | $95.50 | $138.04 | $309.03 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $50.12 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $186.21 | Professional | TC · Technical part | $58.88 | $87.10 | $186.21 |
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 $141.25 Median $181.97 Typical High $371.54 | Professional | None (both parts) | $141.25 | $181.97 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $58.88 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $316.23 | Professional | TC · Technical part | $87.10 | $120.23 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
12 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 $47.86 Median $72.44 Typical High $426.58 | Facility | 52 · Reduced service | $47.86 | $72.44 | $426.58 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.50 Median $28.84 Typical High $169.82 | Facility | 53 · Discontinued | $19.50 | $28.84 | $169.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $75.86 Median $107.15 Typical High $398.11 | Facility | FX · Film X-ray | $75.86 | $107.15 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $66.07 Typical High $87.10 | Professional | 52 · Reduced service | $52.48 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.30 Typical High $34.67 | Professional | 53 · Discontinued | $20.89 | $26.30 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $107.15 Typical High $131.83 | Professional | FX · Film X-ray | $83.18 | $107.15 | $131.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $67.61 Typical High $208.93 | Facility | 52 · Reduced service | $46.77 | $67.61 | $208.93 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $83.18 | Facility | 53 · Discontinued | $19.05 | $26.92 | $83.18 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $69.18 Median $107.15 Typical High $416.87 | Facility | FX · Film X-ray | $69.18 | $107.15 | $416.87 |
Moda Health Setting Facility Modifier XU · Unusual separate service Typical Low $3,090.30 Median $3,090.30 Typical High $3,162.28 | Facility | XU · Unusual separate service | $3,090.30 | $3,090.30 | $3,162.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $52.48 | $66.07 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.30 Typical High $33.88 | Professional | 53 · Discontinued | $20.89 | $26.30 | $33.88 |
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· 50th of 51
$126
AK $468UT $123
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.