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 $245.47 Median $309.03 Typical High $346.74 | Facility | None | $245.47 | $309.03 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $3,090.30 | Facility | TC · Technical part | $316.23 | $524.81 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $263.03 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $30.90 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $302.00 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $30.90 | $70.79 | $87.10 |
BCBS Texas Setting Facility Modifier None Typical Low $46.77 Median $123.03 Typical High $363.08 | Facility | None | $46.77 | $123.03 | $363.08 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $83.18 Typical High $549.54 | Professional | None (both parts) | $28.84 | $83.18 | $549.54 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $257.04 Typical High $323.59 | Facility | None | $112.20 | $257.04 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $234.42 | $354.81 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $323.59 | $562.34 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,630.78 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,630.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $602.56 | $602.56 | $602.56 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,311.31 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $501.19 Typical High $3,388.44 | Facility | None | $36.31 | $501.19 | $3,388.44 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $489.78 Typical High $1,479.11 | Facility | TC · Technical part | $316.23 | $489.78 | $1,479.11 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $263.03 | $331.13 | $416.87 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $30.90 | $50.12 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $380.19 | Professional | TC · Technical part | $239.88 | $295.12 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $436.52 | Professional | None (both parts) | $33.11 | $37.15 | $436.52 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $338.84 Typical High $602.56 | Facility | None | $36.31 | $338.84 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $234.42 | $354.81 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $21.38 | $31.62 | $53.70 |
Providence Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $323.59 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $660.69 | Professional | None (both parts) | $407.38 | $489.78 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $38.90 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $457.09 Typical High $616.60 | Professional | TC · Technical part | $380.19 | $457.09 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
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 $158.49 Median $263.03 Typical High $1,548.82 | Facility | 52 · Reduced service | $158.49 | $263.03 | $1,548.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $104.71 Typical High $616.60 | Facility | 53 · Discontinued | $63.10 | $104.71 | $616.60 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $389.05 Typical High $1,412.54 | Facility | FX · Film X-ray | $251.19 | $389.05 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $165.96 Typical High $204.17 | Professional | 52 · Reduced service | $131.83 | $165.96 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $66.07 Typical High $83.18 | Professional | 53 · Discontinued | $52.48 | $66.07 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $269.15 Typical High $288.40 | Professional | FX · Film X-ray | $213.80 | $269.15 | $288.40 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $158.49 Median $245.47 Typical High $741.31 | Facility | 52 · Reduced service | $158.49 | $245.47 | $741.31 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $97.72 Typical High $295.12 | Facility | 53 · Discontinued | $63.10 | $97.72 | $295.12 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $389.05 Typical High $1,479.11 | Facility | FX · Film X-ray | $251.19 | $389.05 | $1,479.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $165.96 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $165.96 | $177.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $66.07 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $66.07 | $70.79 |
Where Texas sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 42nd of 51
$427
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.