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 $70.79 Median $91.20 Typical High $91.20 | Facility | None | $70.79 | $91.20 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $616.60 | Facility | TC · Technical part | $63.10 | $104.71 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $70.79 | $89.13 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $21.38 | $27.54 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $83.18 | Professional | TC · Technical part | $48.98 | $61.66 | $83.18 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $33.11 | $66.07 | $123.03 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $31.62 | $31.62 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $426.58 Typical High $2,511.89 | Facility | None | $181.97 | $426.58 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $61.66 | $95.50 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $58.88 | Professional | 26 · Professional part | $19.05 | $28.84 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $41.69 | $66.07 | $141.25 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | 26 · Professional part | $208.93 | $208.93 | $269.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $186.21 | Facility | None | $81.28 | $104.71 | $186.21 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $302.00 | Facility | TC · Technical part | $63.10 | $97.72 | $302.00 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $70.79 | $89.13 | $138.04 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $27.54 | $38.02 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $48.98 | $61.66 | $93.33 |
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 $100.00 Median $323.59 Typical High $2,691.53 | Facility | None | $100.00 | $323.59 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $61.66 | $95.50 | $199.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $28.84 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $28.84 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $41.69 | $64.57 | $128.82 |
United Setting Facility Modifier None Typical Low $954.99 Median $977.24 Typical High $1,318.26 | Facility | None | $954.99 | $977.24 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $93.33 | $117.49 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $27.54 | $33.88 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $83.18 | $144.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
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 $34.67 Median $52.48 Typical High $309.03 | Facility | 52 · Reduced service | $34.67 | $52.48 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $21.38 Typical High $123.03 | Facility | 53 · Discontinued | $13.80 | $21.38 | $123.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $77.62 Typical High $288.40 | Facility | FX · Film X-ray | $54.95 | $77.62 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $17.78 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $72.44 Typical High $89.13 | Professional | FX · Film X-ray | $56.23 | $72.44 | $89.13 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $34.67 Median $48.98 Typical High $151.36 | Facility | 52 · Reduced service | $34.67 | $48.98 | $151.36 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $19.50 Typical High $60.26 | Facility | 53 · Discontinued | $13.80 | $19.50 | $60.26 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $50.12 Median $77.62 Typical High $302.00 | Facility | FX · Film X-ray | $50.12 | $77.62 | $302.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $44.67 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.78 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $17.78 | $22.39 |
Where Texas sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 51st of 51
$70.79
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.