How much rates vary
Facilitymedian $3,467 · 10th to 90th $219 to $4,898Professionalmedian $257 · 10th to 90th $89 to $2,754
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 $1,737.80 Median $2,238.72 Typical High $2,398.83 | Facility | None | $1,737.80 | $2,238.72 | $2,398.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $2,344.23 Median $3,981.07 Typical High $23,442.29 | Facility | TC · Technical part | $2,344.23 | $3,981.07 | $23,442.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $2,238.72 Typical High $2,818.38 | Professional | None (both parts) | $331.13 | $2,238.72 | $2,818.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $72.44 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $2,187.76 Typical High $2,818.38 | Professional | TC · Technical part | $213.80 | $2,187.76 | $2,818.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
BCBS Texas Setting Facility Modifier None Typical Low $1,047.13 Median $3,162.28 Typical High $5,248.07 | Facility | None | $1,047.13 | $3,162.28 | $5,248.07 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $75.86 Median $251.19 Typical High $3,019.95 | Professional | None (both parts) | $75.86 | $251.19 | $3,019.95 |
Christus Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $104.71 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $234.42 Typical High $12,882.50 | Facility | None | $93.33 | $234.42 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $79.43 | $117.49 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $77.62 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $38.02 | $69.18 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Professional | None (both parts) | $2,187.76 | $2,187.76 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $1,659.59 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $2,089.30 Typical High $3,311.31 | Facility | None | $218.78 | $2,089.30 | $3,311.31 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $2,398.83 Median $3,715.35 Typical High $11,481.54 | Facility | TC · Technical part | $2,398.83 | $3,715.35 | $11,481.54 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $2,238.72 Typical High $2,818.38 | Professional | None (both parts) | $371.54 | $2,238.72 | $2,818.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $72.44 | $144.54 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $2,187.76 Typical High $2,754.23 | Professional | TC · Technical part | $239.88 | $2,187.76 | $2,754.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $100.00 | $165.96 | $288.40 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $128.82 | $302.00 | $645.65 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $239.88 Typical High $12,882.50 | Facility | None | $64.57 | $239.88 | $12,882.50 |
Providence Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $213.80 | Professional | None (both parts) | $79.43 | $114.82 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $75.86 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $38.02 | $63.10 |
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 $1,288.25 Typical High $2,570.40 | Professional | None (both parts) | $120.23 | $1,288.25 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $69.18 | $87.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $1,230.27 Typical High $2,454.71 | Professional | TC · Technical part | $41.69 | $1,230.27 | $2,454.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
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 $1,174.90 Median $1,995.26 Typical High $11,748.98 | Facility | 52 · Reduced service | $1,174.90 | $1,995.26 | $11,748.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $467.74 Median $794.33 Typical High $4,677.35 | Facility | 53 · Discontinued | $467.74 | $794.33 | $4,677.35 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,951.21 Typical High $10,964.78 | Facility | FX · Film X-ray | $1,905.46 | $2,951.21 | $10,964.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,174.90 Typical High $1,445.44 | Professional | 52 · Reduced service | $933.25 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $575.44 | Professional | 53 · Discontinued | $371.54 | $467.74 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,513.56 Median $1,862.09 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,513.56 | $1,862.09 | $2,238.72 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,862.09 Typical High $5,754.40 | Facility | 52 · Reduced service | $1,174.90 | $1,862.09 | $5,754.40 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $478.63 Median $741.31 Typical High $2,290.87 | Facility | 53 · Discontinued | $478.63 | $741.31 | $2,290.87 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $1,905.46 Median $2,951.21 Typical High $11,481.54 | Facility | FX · Film X-ray | $1,905.46 | $2,951.21 | $11,481.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,174.90 Typical High $1,412.54 | Professional | 52 · Reduced service | $933.25 | $1,174.90 | $1,412.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $562.34 | Professional | 53 · Discontinued | $371.54 | $467.74 | $562.34 |
Where Texas sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 33rd of 51
$269
CO $3,467NM $132
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.