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 $158.49 Median $199.53 Typical High $199.53 | Facility | None | $158.49 | $199.53 | $199.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $1,778.28 | Facility | TC · Technical part | $181.97 | $309.03 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $158.49 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $21.38 | Professional | 26 · Professional part | $14.45 | $18.62 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $177.83 | $208.93 |
BCBS Texas Setting Facility Modifier None Typical Low $107.15 Median $331.13 Typical High $794.33 | Facility | None | $107.15 | $331.13 | $794.33 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.20 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $18.20 | $181.97 | $218.78 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 26 · Professional part | $20.89 | $20.89 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $630.96 Typical High $794.33 | Facility | None | $269.15 | $630.96 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $125.89 | $181.97 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $12.88 | $19.05 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $162.18 | $239.88 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None (both parts) | $8,912.51 | $8,912.51 | $8,912.51 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $891.25 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | TC · Technical part | $8,128.31 | $8,128.31 | $8,128.31 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $302.00 | Facility | None | $158.49 | $218.78 | $302.00 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $891.25 | Facility | TC · Technical part | $181.97 | $288.40 | $891.25 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $158.49 | $194.98 | $295.12 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $19.05 | $29.51 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $141.25 | $177.83 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $28.84 | $158.49 | $218.78 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $229.09 Typical High $758.58 | Facility | None | $158.49 | $229.09 | $758.58 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $125.89 | $177.83 | $288.40 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.05 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $19.05 | $31.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $112.20 | $158.49 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $263.03 | Professional | None (both parts) | $144.54 | $169.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $22.91 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $125.89 | $147.91 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
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 $91.20 Median $154.88 Typical High $891.25 | Facility | 52 · Reduced service | $91.20 | $154.88 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $61.66 Typical High $363.08 | Facility | 53 · Discontinued | $36.31 | $61.66 | $363.08 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $229.09 Typical High $831.76 | Facility | FX · Film X-ray | $147.91 | $229.09 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $97.72 Typical High $117.49 | Professional | 52 · Reduced service | $79.43 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $38.90 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $158.49 Typical High $181.97 | Professional | FX · Film X-ray | $125.89 | $158.49 | $181.97 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $91.20 Median $141.25 Typical High $436.52 | Facility | 52 · Reduced service | $91.20 | $141.25 | $436.52 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $57.54 Typical High $177.83 | Facility | 53 · Discontinued | $36.31 | $57.54 | $177.83 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $229.09 Typical High $891.25 | Facility | FX · Film X-ray | $147.91 | $229.09 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $79.43 | $97.72 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $45.71 | Professional | 53 · Discontinued | $31.62 | $38.90 | $45.71 |
Where Texas sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 46th of 51
$195
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.