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 $89.13 Median $114.82 Typical High $114.82 | Facility | None | $89.13 | $114.82 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $602.56 | Facility | TC · Technical part | $61.66 | $102.33 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $89.13 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $41.69 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $60.26 | $77.62 |
BCBS Texas Setting Facility Modifier None Typical Low $125.89 Median $316.23 Typical High $2,398.83 | Facility | None | $125.89 | $316.23 | $2,398.83 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $85.11 | $120.23 | $177.83 |
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 $831.76 Typical High $12,882.50 | Facility | None | $213.80 | $831.76 | $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 $38.02 Median $56.23 Typical High $117.49 | Professional | 26 · Professional part | $38.02 | $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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 26 · Professional part | $478.63 | $478.63 | $524.81 |
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 $104.71 Median $147.91 Typical High $933.25 | Facility | None | $104.71 | $147.91 | $933.25 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $95.50 Typical High $295.12 | Facility | TC · Technical part | $61.66 | $95.50 | $295.12 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $89.13 | $114.82 | $177.83 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $53.70 | $77.62 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $60.26 | $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 $147.91 Median $398.11 Typical High $12,882.50 | Facility | None | $147.91 | $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 $38.02 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $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 $154.88 Typical High $389.05 | Professional | None (both parts) | $120.23 | $154.88 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $67.61 | $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 $57.54 Typical High $302.00 | Facility | 52 · Reduced service | $34.67 | $57.54 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.13 Median $22.91 Typical High $120.23 | Facility | 53 · Discontinued | $14.13 | $22.91 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $53.70 Median $83.18 Typical High $281.84 | Facility | FX · Film X-ray | $53.70 | $83.18 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $44.67 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $17.78 | $22.91 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $91.20 Typical High $112.20 | Professional | FX · Film X-ray | $70.79 | $91.20 | $112.20 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $54.95 Typical High $147.91 | Facility | 52 · Reduced service | $33.88 | $54.95 | $147.91 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $21.88 Typical High $58.88 | Facility | 53 · Discontinued | $13.49 | $21.88 | $58.88 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $75.86 Typical High $295.12 | Facility | FX · Film X-ray | $48.98 | $75.86 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $44.67 | $57.54 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $17.78 | $22.91 | $28.84 |
Where Texas sits
The same service costs 4.5 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
$100
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.