How much rates vary
Facilitymedian $6,918 · 10th to 90th $302 to $12,882Professionalmedian $85 · 10th to 90th $12 to $195
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 $87.10 Median $112.20 Typical High $112.20 | Facility | None | $87.10 | $112.20 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $102.33 Typical High $588.84 | Facility | TC · Technical part | $60.26 | $102.33 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $87.10 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $46.77 | $58.88 | $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 $83.18 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $83.18 | $120.23 | $173.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 26 · Professional part | $61.66 | $61.66 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $891.25 Typical High $12,882.50 | Facility | None | $213.80 | $891.25 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $331.13 | Professional | None (both parts) | $79.43 | $120.23 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $117.49 | Professional | 26 · Professional part | $37.15 | $56.23 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $199.53 | Professional | TC · Technical part | $40.74 | $64.57 | $199.53 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $4,168.69 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $3,467.37 | $3,467.37 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $933.25 | Facility | None | $102.33 | $144.54 | $933.25 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $288.40 | Facility | TC · Technical part | $60.26 | $93.33 | $288.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $87.10 | $112.20 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $53.70 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $58.88 Typical High $93.33 | Professional | TC · Technical part | $46.77 | $58.88 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.23 Median $56.23 Typical High $134.90 | Professional | None (both parts) | $10.23 | $56.23 | $134.90 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $398.11 Typical High $12,882.50 | Facility | None | $144.54 | $398.11 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $79.43 | $120.23 | $302.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $56.23 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $64.57 Typical High $165.96 | Professional | TC · Technical part | $40.74 | $64.57 | $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 $120.23 Median $151.36 Typical High $380.19 | Professional | None (both parts) | $120.23 | $151.36 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $66.07 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $316.23 | Professional | TC · Technical part | $66.07 | $85.11 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
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 $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 $56.23 Typical High $295.12 | Facility | 52 · Reduced service | $34.67 | $56.23 | $295.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $22.91 Typical High $117.49 | Facility | 53 · Discontinued | $13.80 | $22.91 | $117.49 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $52.48 Median $81.28 Typical High $275.42 | Facility | FX · Film X-ray | $52.48 | $81.28 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $56.23 Typical High $72.44 | Professional | 52 · Reduced service | $43.65 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.39 Typical High $28.84 | Professional | 53 · Discontinued | $17.38 | $22.39 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $91.20 Typical High $109.65 | Professional | FX · Film X-ray | $70.79 | $91.20 | $109.65 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.11 Median $53.70 Typical High $144.54 | Facility | 52 · Reduced service | $33.11 | $53.70 | $144.54 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $21.88 Typical High $57.54 | Facility | 53 · Discontinued | $13.18 | $21.88 | $57.54 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $47.86 Median $75.86 Typical High $288.40 | Facility | FX · Film X-ray | $47.86 | $75.86 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $56.23 Typical High $70.79 | Professional | 52 · Reduced service | $43.65 | $56.23 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.39 Typical High $28.18 | Professional | 53 · Discontinued | $17.38 | $22.39 | $28.18 |
Where Texas sits
The same service costs 4.7 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
$91.20
AK $427TX $91.20
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.