How much rates vary
Facilitymedian $214 · 10th to 90th $91 to $1,000Professionalmedian $74 · 10th to 90th $11 to $158
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 $120.23 Median $630.96 Typical High $1,288.25 | Facility | None | $120.23 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $107.15 Typical High $616.60 | Facility | TC · Technical part | $61.66 | $107.15 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $95.50 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $54.95 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $61.66 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $58.88 | $128.82 |
BCBS Texas Setting Facility Modifier None Typical Low $85.11 Median $199.53 Typical High $436.52 | Facility | None | $85.11 | $199.53 | $436.52 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $45.71 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $45.71 | $91.20 | $177.83 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 26 · Professional part | $50.12 | $50.12 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $371.54 Typical High $478.63 | Facility | None | $158.49 | $371.54 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $63.10 | $97.72 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $47.86 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $48.98 | $95.50 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $562.34 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $758.58 Typical High $1,258.93 | Facility | None | $112.20 | $758.58 | $1,258.93 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $309.03 | Facility | TC · Technical part | $61.66 | $100.00 | $309.03 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $95.50 | $120.23 | $190.55 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $45.71 | $57.54 | $81.28 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $61.66 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.55 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $9.55 | $50.12 | $97.72 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $371.54 | Facility | None | $109.65 | $169.82 | $371.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $63.10 | $95.50 | $190.55 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $47.86 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $48.98 Typical High $95.50 | Professional | TC · Technical part | $31.62 | $48.98 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $93.33 | $117.49 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $56.23 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $100.00 | Professional | TC · Technical part | $47.86 | $60.26 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
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 $33.88 Median $58.88 Typical High $302.00 | Facility | 52 · Reduced service | $33.88 | $58.88 | $302.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.80 Median $23.99 Typical High $123.03 | Facility | 53 · Discontinued | $13.80 | $23.99 | $123.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $51.29 Median $85.11 Typical High $295.12 | Facility | FX · Film X-ray | $51.29 | $85.11 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $19.05 | $22.91 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $95.50 Typical High $123.03 | Professional | FX · Film X-ray | $75.86 | $95.50 | $123.03 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $31.62 Median $56.23 Typical High $117.49 | Facility | 52 · Reduced service | $31.62 | $56.23 | $117.49 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $22.39 Typical High $46.77 | Facility | 53 · Discontinued | $12.59 | $22.39 | $46.77 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $51.29 Median $81.28 Typical High $309.03 | Facility | FX · Film X-ray | $51.29 | $81.28 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $57.54 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $19.05 | $22.91 | $30.20 |
Where Texas sits
The same service costs 5.6 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
$79.43
AK $447TX $79.43
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.